Mitral Stenosis Heart Sound - MEDZCOOOL
This is the sound of mitral stenosis. It is a decrescendo-crescendo diastolic heart murmur. It can be a result of Rheumatic fever, heart valve calcification, etc. and can lead to things like pulmonary hypertension and atrial fibrillation.
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Пікірлер: 136
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No matter how much i study murmurs,i always forget everything😭😭😭😭
@abhinavvasan
2 жыл бұрын
I feel your pain😭😭
@chandrashekarpagidimarry9662
2 жыл бұрын
Same here
@c.linfordnitin7390
2 жыл бұрын
Even I struggled with it too............If you read with the cardiac cycle simultaneously n then understand hemodynamics , u will not forget. 1 week max ...........u can cover it up........
@chrizstele5922
2 жыл бұрын
@@c.linfordnitin7390 which lectures would you recommend to best understand learn ECG and CVS to memorize forever...
@c.linfordnitin7390
2 жыл бұрын
@@chrizstele5922 to be frank 1 professor in my college taught me this in a CME.......he had a ppt with the cardiac cycle and correlated it............
THE Best channel on KZread! Your videos are extremely helpful!!
so helpful! I cant’t tell you how much clearer it is after seeing the graphic! Thank you!
You guys are too amazing!!! This video is just so perfect. Short yet so thorough. And not to mention that graphic at 1:00 - 1:09. Thank you so much for your help!!!!
I just want to thank you so much for the great work
Thank you so so much! Mitral Stenosis is rare in clinical practice and this is great !
Rheumatic heart Dz is classic for affecting the mitral valve. For mid-age patients, it's mostly Mitral Stenosis (which classically presents with Diastole. murmur with opening snap)
The channel with the most gorgeous videos ever
THANK YOU SO MUCH YOU SAVED MY MED SKU LIFE
I’m 6year médical , this is the day 1/1/2021 ! only day I understood murmurs just for ur help thank u ☺️
I love that graphic , thank you so much for your help , you've no idea how helpful this is to me. The answer to that question is Rheumatic fever
I’ve always heard my heartbeat like this.
@dunoonulshibli9548
3 жыл бұрын
Congrats! U have MS 😉
@serotonin6556
3 жыл бұрын
Get it checked my buddy😂
well done guys .. I'm a big fan of your work .. keep it up:)
God. I wish i found this earlier. Creativety meets brilliance. Hats off team.
Great explanation and perfect sound. Thank you
Amazing vid!!! Thank you!
The graphic was helpful along with speed 0.5 or 0.75 it became easy to understand. Thanks
@yamifonseca2993
6 жыл бұрын
Absolutely!
@csingilingemo
6 жыл бұрын
thanks for this suggestion!
@bitterguard5233
2 жыл бұрын
Thanks for the idea !
Thank you so and so much.This video inspired me a lot, thanks.
Excellent video. The loud first heart sound you get in mitral stenosis is due to the valve leaflets, which are open in diastole, becoming slammed shut during ventricular contraction in systole, which the first heart sound heralds.
This is amazing and very helpful.. Thank you
I’m not even a medical student, but this is just kind of cool.
Thank you so much! It is so helpful!
Excellent video, except a point at 0:40. Valsalva maneuver decreases preload, and thus decreases intensity of a mitral stenosis (MS) murmur. Squatting, leg lifts or other maneuvers that increase preload will result an increase of intensity of a MS murmur. Conversely, there are two valvular diseases that a Valsalva will INCREASE the murmur: hypertrophic obstructive cardiomyopathy and mitral valve prolapse. This is because both of these valvular diseases do worse with a decrease in ventricular volume. Thank you for your free series
@attaurrehman9031
11 ай бұрын
this is what i was wondering....thanks
Thank you so much ✨
THANK YOU SO MUCH!!! I cant understand why some people would dislike something great and helpful like this video.:)
Thanks a lot. Really really helpful! Are these heart sounds true heart sounds recorded, or simulations?
Murmur is heard in late diastole, it is hard to hear S1, i was finding the graph difficult to understand until i played it at 0.25 speed. I loved it!
Thank you! This video is very useful and a source of motivation! I loved the graphic in 1:00
@jameer8225
3 жыл бұрын
Looks like a background when a person is dancing onstage
I played this video 1:00-1:09 by the slowest rate (0.25) and found that actually the murmur is most obvious at the very late diastole and extending to S1, that's why it was so confusing for me how to tell the murmur is diastolic or systolic before watching this video.
@serotonin6556
3 жыл бұрын
Thanks for yur comment i understood very well now🙏🙏
@hope_9271
3 жыл бұрын
Thanksssss ❤❤❤❤
@gobigapadmanabhan2250
2 жыл бұрын
Thank you!
Thanks a lot! So helpful
Thanks for the video and tht amazing graphics
Thank you!
Now for a completely non medical way to listen to this, play no worries be happy in time with the rhythm. You will never forget what this sounds like.
Wow wow thanks!
I’m a NEET aspirant from India I actually got goosebumps on hearing this Good inspiration Thank you 😊
@KrishnamKumawat
2 жыл бұрын
Best of luck, and best of mehnat 👍🏼
thank you very much
Great graphics 👌🏽👌🏽👌🏽
great workkkkk
Amazing, Thanks...
It's very helpful vedio, thanks a lot 🙏 😊
Does Valsalva maneuver make the sound quieter?
@Medzcool how do we differrntiate opening snap from Split S2 ?
Thanks
You are the best
thanks, excelent.
amazing
Is the doubled sound S2+Click (1.18) ? Could it be S2(pulmonary)+S2(aortic)?
Turn it on fast of 0,25 and enjoy the murmer
@kayal1403
2 жыл бұрын
😂😂😂
Thank you for your videos but the graphic and the sound do not match When listening the sound there is an obvious gap between the opening snap and the murmur
God level Videos
Thank you for this video. It is extremely useful to have a visual to go with the sounds. However, I am a little confused about the comments on the valsalva maneuver. Could you please clarify for me? Your notes say that the murmur increases AFTER the valsalva but the case study says the murmur increases DURING valsalva. Other sources I have read say that the murmur decreases with decreased venous return (valsalva) and increases with increased venous return (such as right after valsalva is over). Is there a mistake in the case study? Or is there something that I am missing? Thanks so much for this information. I really appreciate you making these videos!
@baqerabbas9767
4 жыл бұрын
Im also confused in this point! And if it really will be louder so why aortic stenosis murmur will decrease in intensity in valsalva manuver 🤔🤔
Ultimate
After a valsalva maneuver preload will decrease sooo there has to be a decrease sound right?????
How to identify decresendo crescendo
Guys,its better if you listen to it in 0.5x speed. It helped me distinguish the opening snap from S2.
What is the answer for the case?
I can only hear two sounds apart from the murmur. Does S1 merge with the murmur and is therefore not easily audible? The graphic shows S2 and the opening snap as two very clear sounds but S1 is kind of missing
In the first aid says that standing valsava maneuver (strain phase) decreases this murmur Can I get an explanation?
@shehzadalam2426
4 жыл бұрын
standing valsalva decreases preload ...... that means less blood flow through stenosed value which eventually cause a decrease in murmur
U guys are fuckin awesome.
It sounds to me that in this video the graphic doesn't match the sound. I hear the murmur but the graphic highlights S1. Does anyone else see/hear that too? This is when I slow it down to 0.5
@odaenathus7825
5 жыл бұрын
I hear the S2 + snap first then the murmur and the S1
@saraf7151
4 жыл бұрын
Yes! I saw that too
@dawoodumer524
3 жыл бұрын
The thing which u r calling murmur is actually a loud S1
@dakshinanair2398
3 жыл бұрын
nope.the graphics highlights s1 after the murmur is heard.u hear the murmer,then loud s1 comes immefiately after the murmer stops.u got confused there
@HMS20th
3 жыл бұрын
Agree
It kind of reminds me of the "ba-dum tsss" drum sound made after a joke, only with a murmur at the end (ba-dum whooosh).
What is the answer? i can't find, is that Rheumatic heart disease?
This was very good.
Thank you very much.. Really helpful series of videos!!😍🥰
Why I forget this..
This sounds like the train coming Bucharest to Targu Mures
Is there an s4 also i this audio recprding?
@doc.g9497
5 жыл бұрын
sam emmy I think that’s the diastolic opening snap.
😫😫😫 where’s the opening snap??
S4 is also heard . As it should be present in MS 🤔
The answer is B. Rheumatic heart disease
@LifeLineJAT
5 жыл бұрын
how????? ,,,,,,,,,no h/o infection
@nheanpanharithichout8620
5 жыл бұрын
@@LifeLineJAT Most of the causes is Rheumatic Heart Disease that cause by Beta hemolytic streptococcus group A
@silviomartinez7286
4 жыл бұрын
@@LifeLineJAT it doesn't say no past infections, it says no current infectious symptoms which rules out infective endocarditis. Rhuematic heart disease is a complication of infectiono with strep group A but rheumatic heart disease is not an infection itself, it is an autoimmune reaction of your body against mitral valve M protein, specifically myosin. this is known as molecular mimicry. type 2 HS rxn
@NoorAbuhantash-kc7nx
8 ай бұрын
@@silviomartinez7286 but also it says no shortness of breath, but rheumatic heart disease causes that!
grahpic+sound at 1:00
😊😊
Graphic representation of murmur doesnt goes properly @1:10 rest of the video is wonderful 👍
❤️
I believe Valsalva decreases the intensity of the murmur but otherwise great video
Watch at .5 from 1 min and you'll get hold of it
لا اله الا الله وحده لا شريك له, محمد رسول الله
This is so difficult
This is very similar to S3 gallop :(
1:01
0:59
01:00
I felt the murmur didn't correspond to the graphics. even at 0.5 x speed @.@ OMG
The answer must be B
@firstlady149
3 жыл бұрын
But it was said no infectious symptoms in the case hmm..
diastole is way too short, throws everything off
B
Rheumatic heart disease
When study murmur I feel GERD 🤮
these videos are always too fast
@zeenathzulfa3913
Ай бұрын
Decrease the speed dear