Diastolic Murmur - Mitral Stenosis | Auscultation #311 | Lesson with Audio
The patient was supine during auscultation.
Description
In this lesson we cover a diastolic decrescendo murmur occurring after an opening snap. It is associated with mitral stenosis. The first heart sound is increased in intensity while the second heart sound is normal. An opening snap is present after the second heart sound. The low-pitched rumbling murmur starts after the opening snap and lasts until mid diastole. On the 'Visual' tab you can see an enlarged left atrium and thickened but mobile mitral leaflets. Turbulent blood flow from the left atrium into the left ventricle is responsible for the murmur.Phonocardiogram
Anatomy
Diastolic Murmur - Mitral Stenosis
Authors and Sources
Authors and Reviewers
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Heart sounds by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient.
- Lung sounds by Diane Wrigley, PA
- Respiratory cases: William French
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David Lieberman, Audio Engineering
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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.
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Last Update: 11/10/2021
Sources
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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
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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
