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Heart Sounds & Murmurs
Dr. Arun Goel
Associate professor
Department of Physiology
Heart Sounds
Heart sounds
๏ƒ˜ S1 โ€“ โ€œlubbโ€ caused by the closing of the AV valves
๏ƒ˜ S2 โ€“ โ€œduppโ€ caused by the closing of semilunar valves
๏ƒ˜ S3 โ€“associated with blood flowing into the ventricles
๏ƒ˜ S4 โ€“associated with atrial contraction
Four heart sounds can be recorded by phonocardiography,
but normally only the first and the second heart sounds,
are audible through a stethoscope
First heart sound
โ€ข occurs when the
atrioventricular (AV) valves
close at the beginning of
ventricular contraction
โ€ข generated by the vibration of
the blood and the ventricular
wall
โ€ข is louder, longer, more in
duration than the second heart
sound
Second heart sound
โ€ข occurs when aortic and
pulmonary semilunar valves
close at the beginning of
ventricular dilation
โ€ข generated by the vibration of
the blood and the aorta
โ€ข Aortic valve closes slightly
before pulmonary valve
โ€ข Splitting of S2
Heart Murmur
โ€ข Cardiac murmurs are abnormal heart sounds in the form
of noises resulting from turbulent blood flow,
โ€ข Murmurs may be:
โ€“ Systolic murmurs, if they occur during systole.
โ€“ Diastolic murmurs, if they occur during diastole
โ€ข Causes:
โ€“ Stenosis (narrowing) of heart valves
โ€“ Incompetence of heart valves
โ€“ Increase of blood flow or decrease of blood viscosity (as in anemia).
Two Basic Types of Valvular Diseases
valvular stenosis:
โ€ข narrowing of the valve
valvular insufficiency
(incompetence):
โ€ข valve is unable to
close fully; so there is
regurgitation
Phonocardiograms examples
Thank You

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347_heart_sounds_&_murmurs.ppt

  • 1. Heart Sounds & Murmurs Dr. Arun Goel Associate professor Department of Physiology
  • 3. Heart sounds ๏ƒ˜ S1 โ€“ โ€œlubbโ€ caused by the closing of the AV valves ๏ƒ˜ S2 โ€“ โ€œduppโ€ caused by the closing of semilunar valves ๏ƒ˜ S3 โ€“associated with blood flowing into the ventricles ๏ƒ˜ S4 โ€“associated with atrial contraction Four heart sounds can be recorded by phonocardiography, but normally only the first and the second heart sounds, are audible through a stethoscope
  • 4. First heart sound โ€ข occurs when the atrioventricular (AV) valves close at the beginning of ventricular contraction โ€ข generated by the vibration of the blood and the ventricular wall โ€ข is louder, longer, more in duration than the second heart sound
  • 5. Second heart sound โ€ข occurs when aortic and pulmonary semilunar valves close at the beginning of ventricular dilation โ€ข generated by the vibration of the blood and the aorta โ€ข Aortic valve closes slightly before pulmonary valve โ€ข Splitting of S2
  • 6. Heart Murmur โ€ข Cardiac murmurs are abnormal heart sounds in the form of noises resulting from turbulent blood flow, โ€ข Murmurs may be: โ€“ Systolic murmurs, if they occur during systole. โ€“ Diastolic murmurs, if they occur during diastole โ€ข Causes: โ€“ Stenosis (narrowing) of heart valves โ€“ Incompetence of heart valves โ€“ Increase of blood flow or decrease of blood viscosity (as in anemia).
  • 7. Two Basic Types of Valvular Diseases valvular stenosis: โ€ข narrowing of the valve valvular insufficiency (incompetence): โ€ข valve is unable to close fully; so there is regurgitation