Fundamentals of Heart Sounds

Mid Systolic Click Lesson #639

patient thorax when auscultating by stethoscope

The patient was supine during auscultation.

Description

The mid-systolic click is usually created by the sudden prolapse of the mitral valve leaflet into the left atrium. The anatomy video illustrates this mitral valve posterior leaflet prolapse.

Listen to the recording of a mid-systolic click recorded at the apex. The first and second heart sounds are normal, and no murmur is present.

In some cases, a late systolic murmur follow the mid-systolic click.

Phonocardiogram

Anatomy

Mid Systolic Click

Play the animation and observe that the mitral valve posterior leaflet prolapses. The mid-systolic click is produced by the sudden prolapse of the leaflet.

Authors and Sources

Authors and Reviewers

Heart sounds by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient.
Lung sounds by Diane Wrigley, PA
Respiratory cases: William French
David Lieberman, Audio Engineering
Heart sounds mentorship by W. Proctor Harvey, MD
Special thanks for the medical mentorship of Dr. Raymond Murphy
Reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.
Last Update: 11/10/2021

Sources

Heart and Lung Sounds Reference Library Diane S. Wrigley
Publisher: PESI
Impact Patient Care: Key Physical Assessment Strategies and the Underlying Pathophysiology
Diane S Wrigley & Rosale Lobo
Practical Clinical Skills: Lung Sounds
Essential Lung Sounds Diane S. Wrigley, PA-C
Published by MedEdu LLC
PESI Faculty - Diane S Wrigley
Case Profiles in Respiratory Care 3rd Ed, 2019
William A.French
Published by Delmar Cengage
Essential Lung Sounds by William A. French
Published by Cengage Learning, 2011
Understanding Lung Sounds Steven Lehrer, MD
Clinical Heart Disease W Proctor Harvey, MD
Clinical Heart Disease
Laennec Publishing; 1st edition (January 1, 2009)
Heart and Lung Sounds Reference Guide
PracticalClinicalSkills.com