Auscultation of various heart sounds as they relate to the anatomy, physiology and diagnosis of cardiovascular disease. http://www.texasheart.org/heartsounds en-us Copyright 2009-2010 Wed, 08 Dec 2010 14:30:00 CST Wed, 08 Dec 2010 14:30:00 CST http://blogs.law.harvard.edu/tech/rss webmaster@heart.thi.tmc.edu Texas Heart Institute at St. Luke's Texas Heart Institute at St. Luke's presents Auscultation of Heart Sounds This series from the Texas Heart Institute at St. Lukes Episcopal Hospital Robert J. Hall Heart Sounds Laboratory presents auscultation of various heart sounds as they relate to the anatomy, physiology, and diagnosis of cardiovascular disease. The podcasts are developed for physicians, medical residents, nurses, and other clinicians who wish to improve auscultation skills. More information that further demonstrates the physiology of the heart sounds is provided for some podcasts. Use headphones for best audio quality. James M Wilson MD khoge@heart.thi.tmc.edu No http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://texasheart.org/Education/CME/explore/events/upload/HSPS21_CongVSD.mp3 Auscultation of the murmur of congenital ventricular septal defect (VSD). Copyright 2011 by the Texas Heart Institute at St. Luke's Episcopal Hospital. Podcasts Thu, 3 Nov 2011 18:00:00 CST James M Wilson, MD No Auscultation of murmurs associated with hypertrophic obstructive cardiomyopathy (HOCM) and LV outlet obstruction. This podcast examines auscultation of the murmur of congenital ventricular septal defect (VSD). The murmur of congenital ventricular septal defect (VSD) is frequently accompanied by a thrill, and along with the thrill, is best appreciated at the lower left sternal border at the fifth, fourth, and third intercostals spaces. Copyright 2011 by the Texas Heart Institute at St. Luke's Episcopal Hospital. 00:01:08 VSD, heart sounds, cardiac auscultation, stethescope, James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://texasheart.org/Education/CME/explore/events/upload/HSPS20_HOCM.mp3 Auscultation of murmurs associated with hypertrophic obstructive cardiomyopathy (HOCM) and LV outlet obstruction. Copyright 2011 by the Texas Heart Institute at St. Luke's Episcopal Hospital. Podcasts Tue, 19 Jul 2011 18:00:00 CST James M Wilson, MD No Auscultation of murmurs associated with hypertrophic obstructive cardiomyopathy (HOCM) and LV outlet obstruction. This podcast examines auscultation of murmurs associated with hypertrophic obstructive cardiomyopathy (HOCM) and LV outlet obstruction. Copyright 2011 by the Texas Heart Institute at St. Luke's Episcopal Hospital. 00:02:58 HOCM,LV outlet, cardiac auscultation, stethescope, James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://texasheart.org/Education/CME/explore/events/upload/HSPS19_TumorPlop.mp3 Auscultation of a diastolic sound referred to as tumor plop, resulting from a left atrial myxoma. The sound arises from obstruction to ventricular in-flow. Copyright 2011 by the Texas Heart Institute at St. Luke's Episcopal Hospital. Podcasts Thu, 24 Mar 2011 16:30:00 CST James M Wilson, MD No Auscultation of a diastolic sound referred to as tumor plop, resulting from a left atrial myxoma. The sound arises from obstruction to ventricular in-flow. A large left atrial myxoma produces a diastolic sound that is referred to as a tumor plop. This sound arises from obstruction to ventricular in-flow that occurs as the tumor comes to rest over the mitral annulus. It is the functional equivalent of mitral valve stenosis and may be associated with a low frequency diastolic murmur. Copyright 2011 by the Texas Heart Institute at St. Luke's Episcopal Hospital. 00:01:51 tumor, plop, diastolic, murmur, cardiac auscultation, stethescope, James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://texasheart.org/Education/CME/explore/events/upload/HSPS18_PerKnock.mp3 The early diastolic sound of pericardial constriction occurs slightly earlier than the average third heart sound. Its frequency is somewhat higher, allowing you to hear it throughout the precordium using the diaphragm and the bell. Common causes of pericardial constriction include prior cardiac surgery and uremic pericarditis. Copyright 2011 by the Texas Heart Institute at St. Luke's Episcopal Hospital. Podcasts Tue, 15 Feb 2011 15:30:00 CST James M Wilson, MD No Auscultation of pericardial knock. The early diastolic sound of pericardial constriction occurs slightly earlier than the average third heart sound. The early diastolic sound of pericardial constriction occurs slightly earlier than the average third heart sound. Its frequency is somewhat higher, allowing you to hear it throughout the precordium using the diaphragm and the bell. Common causes of pericardial constriction include prior cardiac surgery and uremic pericarditis. Copyright 2011 by the Texas Heart Institute at St. Luke's Episcopal Hospital. 00:01:42 knock, constrictive, pericarditis, cardiac auscultation, stethescope, James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://texasheart.org/Education/CME/explore/events/upload/HSPS17_FixedSplitS2.mp3 Auscultation of the fixed splitting of the second heart sound, a finding on physical examination very specific for atrial septal defect. Copyright 2010 by the Texas Heart Institute at St. Luke's Episcopal Hospital. Podcasts Wed, 08 Dec 2010 14:30:00 CST James M Wilson, MD No Heart sounds associated with fixed splitting of the second heart sound, a finding very specific for atrial septal defect. Auscultation of the fixed splitting of the second heart sound, a finding on physical examination very specific for atrial septal defect. Copyright 2010 by the Texas Heart Institute at St. Luke's Episcopal Hospital. 00:02:08 2nd heart sound, atrium, atrial, septal defect, wide-splitting, cardiac auscultation, stethescope, James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://texasheart.org/Education/CME/explore/events/upload/HSPS16_WideSplitS2r.mp3 Auscultation of the wide splitting of the second heart sound, commonly caused by right bundle branch block (RBBB). Copyright 2010 by the Texas Heart Institute at St. Luke's Episcopal Hospital. Podcasts Mon, 13 Sep 2010 13:30:00 CST James M Wilson, MD No Heart sounds associated with Wide splitting of the second heart sound (RBBB). Auscultation of the wide splitting of the second heart sound, commonly caused by right bundle branch block (RBBB). Copyright 2010 by the Texas Heart Institute at St. Luke's Episcopal Hospital. 00:01:34 2nd heart sound, RBBB, bundle branch block, wide-splitting, cardiac auscultation, stethescope, James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://texasheart.org/Education/CME/explore/events/upload/HSPS15_ParadoxSplit2nd.mp3 Auscultation of paradoxical splitting of the second sound, opposite of the normal or physiological finding. Copyright 2010 by the Texas Heart Institute at St. Luke's Episcopal Hospital. Podcasts Thu, 15 Jul 2010 13:30:00 CST James M Wilson, MD No Heart sounds associated with paradoxical splitting of the second heart sound. Auscultation of paradoxical splitting of the second sound, opposite of the normal or physiological finding. Copyright 2010 by the Texas Heart Institute at St. Luke's Episcopal Hospital. 00:02:01 2nd heart sound, abnomal, bundle branch block, LV failure, aortic valve stenosis, splitting, cardiac auscultation, regurgitation, heart sound, stethescope, James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://texasheart.org/Education/CME/explore/events/upload/HSPS14_PhysSplit_S2.mp3 Auscultation of physiological splitting of the second heart sound. Copyright 2010 by the Texas Heart Institute at St. Luke's Episcopal Hospital. Podcasts Fri, 28 May 2010 12:00:00 CST James M Wilson, MD No Heart sounds associated with physiological splitting of the second heart sound. Auscultation of physiological splitting of the second heart sound. Copyright 2010 by the Texas Heart Institute at St. Luke's Episcopal Hospital. 00:03:05 valve sound, valve closure, ventilatory cycle, 2nd heart sound, cardiac auscultation, heart sound, stethescope, James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://texasheart.org/Education/CME/explore/events/upload/HSPS13_TricuspidInsuff.mp3 Auscultation of tricuspid insufficiency and its resulting regurgitation. Copyright 2010 by the Texas Heart Institute at St. Luke's Episcopal Hospital. Podcasts Fri, 02 Apr 2010 13:00:00 CST James M Wilson, MD No Heart sounds associated with Tricuspid Valve Insufficiency. Auscultation of tricuspid insufficiency and its resulting regurgitation. Copyright 2010 by the Texas Heart Institute at St. Luke's Episcopal Hospital. 00:01:31 tricuspid insufficiency, V-wave, jugular venous pulse, cardiac auscultation, heart sounds, stethescope, James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://texasheart.org/Education/CME/explore/events/upload/HSPS12_Fourth.mp3 This podcast presents auscultation of the fourth heart sound (S4). Copyright 2010 by the Texas Heart Institute at St. Luke's Episcopal Hospital. Podcasts Mon, 22 Feb 2010 12:00:00 CST James M Wilson, MD No Heart sounds associated with the fourth heart sound (s4). Auscultation of the fourth heart sound (s4). Copyright 2010 by the Texas Heart Institute at St. Luke's Episcopal Hospital. 00:03:04 fourth, s4, cardiac auscultation, heart sounds, stethescope,James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://texasheart.org/Education/CME/explore/events/upload/HSPS11_Third_Heart_Sound.mp3 This podcast presents auscultation of the third heart sound (s3). Copyright 2009 by the Texas Heart Institute at St. Luke's Episcopal Hospital. Podcasts Fri, 16 Oct 2009 16:00:00 CST James M Wilson, MD No Heart sounds associated with the third heart sound (s3). Auscultation of the third heart sound (s3). Copyright 2009 by the Texas Heart Institute at St. Luke's Episcopal Hospital. 00:02:10 third, s3, cardiac auscultation, heart sounds, stethescope,James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://texasheart.org/Education/CME/explore/events/upload/HSPS10_Mitral_Opening_Snap.mp3 This podcast presents auscultation of opening snap of mitral valve stenosis. Copyright 2009 by the Texas Heart Institute at St. Luke's Episcopal Hospital. Podcasts Fri, 28 Aug 2009 16:00:00 CST James M Wilson, MD No Heart sounds associated with Opening Snap of mitral valve stenosis. Auscultation of opening snap of mitral valve stenosis. Copyright 2009 by the Texas Heart Institute at St. Luke's Episcopal Hospital. 00:01:36 mitral stenosis, cardiac auscultation, heart sounds, murmur, opening snap, stethescope, valve, A2-OS, James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://texasheart.org/Education/CME/explore/events/upload/HSPS09_MitralValveStenosis.mp3 Texas Heart Institute presents auscultation of mitral valve stenosis. Copyright 2009 by the Texas Heart Institute at St. Luke's Episcopal Hospital. Podcasts Tue, 11 Aug 2009 13:00:00 CST James M Wilson, MD No Heart sounds associated with mitral valve stenosis. Texas Heart Institute presents auscultation of mitral valve stenosis. Copyright 2009 by the Texas Heart Institute at St. Luke's Episcopal Hospital. 00:02:23 mitral stenosis, cardiac auscultation, heart sounds, murmur, opening snap, loud s1, loud p2, stethescope, rheumatic fever, valve, James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://texasheart.org/Education/CME/explore/events/upload/HSPS08_FlailMitralRegurg.mp3 Texas Heart Institute presents auscultation of acute mitral regurgitation due to flail posterior leaflet. Copyright 2009 by the Texas Heart Institute at St. Luke's Episcopal Hospital. Podcasts Thu, 28 May 2009 13:00:00 CST James M Wilson, MD No Heart sounds associated with acute mitral regurgitation due to flail posterior leaflet. Texas Heart Institute presents auscultation of acute mitral regurgitation due to flail posterior leaflet. Copyright 2009 by the Texas Heart Institute at St. Luke's Episcopal Hospital. 00:01:28 mitral regurgitation, cardiac auscultation, heart sounds, murmur, flail, stethescope, regurgitation, valve, James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://texasheart.org/Education/CME/explore/events/upload/HSPS07_MitralRegurg.mp3 Texas Heart Institute presents auscultation of mitral regurgitation. Copyright 2009 by the Texas Heart Institute at St. Luke's Episcopal Hospital. Podcasts Tue, 07 May 2009 13:00:00 CST James M Wilson, MD No Heart sounds associated with mitral regurgitation. Texas Heart Institute presents auscultation of mitral regurgitation. Copyright 2009 by the Texas Heart Institute at St. Luke's Episcopal Hospital. 00:02:24 mitral regurgitation, cardiac auscultation, heart sounds, murmur, inflow rumble, stethescope, regurgitation, valve, James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://www.texasheart.org//Education/CME/explore/events/upload/HSPS06_AustinFlint.mp3 Texas Heart Institute presents the Austin Flint murmur (rumble) of aortic insufficiency. Copyright 2009 by the Texas Heart Institute at St. Luke's Episcopal Hospital. Podcasts Wed, 07 Apr 2009 15:00:00 CST James M Wilson, MD No Heart sounds associated with the Austin Flint murmur (rumble) of aortic insufficiency. Texas Heart Institue presents the Austin Flint murmur (rumble) of aortic insufficiency. Copyright 2009 by the Texas Heart Institute at St. Luke's Episcopal Hospital. 00:02:15 autin flint rumble, cardiac auscultation, heart sounds, murmur, aortic insufficiency, regurgitation, valve, James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://www.texasheart.org//Education/CME/explore/events/upload/HSPS05_AorticRegurgitation.mp3 Texas Heart Institute presents auscultation of chronic severe aortic valve insufficiency and its decrescendo murmur. Copyright 2009 Texas Heart Institute. Podcasts Tue, 24 Mar 2009 15:00:00 CST James M Wilson, MD No Heart sounds associated with chronic severe aortic valve insufficiency and its decrescendo murmur. Texas Heart Institue presents heart sounds associated with chronic severe aortic valve insufficiency and its decrescendo murmur. Copyright 2009 Texas Heart Institute. 00:02:10 cardiac auscultation, heart sounds, murmur, aortic insufficiency, regurgitation, valve, James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://www.texasheart.org//Education/CME/explore/events/upload/HSPS04_AorticStenosis.mp3 Texas Heart Institute presents auscultation of the heart sounds associated with aortic stenosis. Copyright 2009 Texas Heart Institute. Podcasts Tue, 24 Mar 2009 14:00:00 CST James M Wilson, MD No Heart sounds associated with aortic stenosis. Texas Heart Institue presents auscultation of aortic stenosis heart murmur. Copyright 2009 Texas Heart Institute. 00:02:35 cardiac auscultation, heart sounds, murmur, aortic stenosis, valve, James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://www.texasheart.org//Education/CME/explore/events/upload/HSPS03_PulmonaryValveEjection.mp3 Texas Heart Institute presents auscultation of the heart sounds associated with pulmonary valve ejection. An ejection sound is the audible component of achieving peak ejection blood flow velocity. Copyright 2009 Texas Heart Institute. Podcasts Tue, 24 Mar 2009 13:00:00 CST James M Wilson, MD No Heart sounds associated with pulmonary valve ejection Texas Heart Institue presents auscultation of the pulmonary valve ejection sound. An ejection sound is the audible component of achieving peak ejection blood flow velocity. Copyright 2009 Texas Heart Institute. 00:01:40 cardiac auscultation, heart sounds, pulmonary, valve, ejection sound, James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://www.texasheart.org//Education/CME/explore/events/upload/HSPS02_AorticValveEjection.mp3 Texas Heart Institute presents auscultation of the heart sounds associated with aortic valve ejection. An ejection sound is the audible component of achieving peak ejection blood flow velocity. Copyright 2009 Texas Heart Institute. Podcasts Tue, 24 Mar 2009 12:00:00 CST James M Wilson, MD No Heart sounds associated with aortic valve ejection Texas Heart Institute presents auscultation of the heart sounds associated with aortic valve ejection. An ejection sound is the audible component of achieving peak ejection blood flow velocity. Copyright 2009 Texas Heart Institute. 00:02:03 cardiac auscultation, heart sounds, aortic, valve, ejection sound, semilunar, bicuspid, James M Wilson, Texas Heart Institute, Robert J. Hall http://www.texasheart.org/education/cme/explore/events/eventdetail_6456.cfm http://www.texasheart.org//Education/CME/explore/events/upload/Midsystolic_Click-MVP.mp3 An examination of the heart sounds associated with midsystolic click. Midsystolic click is virtually synonymous with prolapse of the mitral valve toward the left atrium during systole. Podcasts Thu, 12 Feb 2009 19:00:00 CST James M Wilson, MD No Heart sounds associated with midsystolic click Examination of heart sounds associated with midsystolic click. Midsystolic click is virtually synonymous with prolapse of the mitral valve toward the left atrium during systole. 00:06:08 cardiac auscultation, mid systolic, murmur, prolapse, MVP, S1, S2, James M Wilson, Texas Heart Institute, Robert J. Hall