Heart Sounds
1. Normal Heart Sounds

2.
Physiologic S3 #1

3.
Physiologic S3 #2

4.
S3 Gallop with MR (Diastolic Filling Murmur)

5.
S3 Gallop with Rapid HR

6.
S4

7.
S3 and S4 Gallop

8.
Ejection Sound (Bicuspid Aortic Valve)

9.
Mid Systolic Click in Mitral Valve Prolapse (Early in disease)

10.
Mid Systolic Clicks in Mitral Valve Prolapse #2

11.
Mid Systolic Click and Late Systolic Murmur (Mitral Valve Prolapse with Mitral Regurgitation)

12.
Opening Snap in Mitral Stenosis (40 msec, more severe MS)

13.
Wide Split of S1 in Right Bundle Branch Block

14.
Split S2- Normal with Inspiration (40 msec)

15.
Split S2- Normal, but Wider (80 msec)

16.
Split S2- Pathologic in Right Bundle Branch Block (120 msec)

17.
Split S2- Wide, Fixed Secondary to ASD with SEM

18.
Split S2- Paradoxical (As in increased systemic resistance, LBBB, or RV pacing)

19.
Pericardial Friction Rub (3-phase)

20.
Pericardial Friction Rub/Acute Pericarditis (also 3-phase)

21.
Pleural Friction Rub

22.
Systolic Murmur (Soft, innocent flow murmur - SEM)

23.
Mid to late Diastolic Murmur, no opening snap (possible Austin Flint)

24.
Early Systolic Murmur (another innocent SEM)

25.
Mid Systolic Murmur (Aortic Stenosis)

26.
Late Systolic Murmur with mid-systolic click (Mitral Valve Prolapse)

27.
Early Diastolic Murmur with Split S1 and S2 (Aortic Insufficiency)

28.
Mid Diastolic Murmur (Mitral Stenosis)

29.
Late Diastolic Murmur with Presystolic Murmur (High Atrial Pressure)

30.
Continuous Murmur (Patent Ductus Arteriosus)

31.
Late Diastolic Crescendo Murmur (High Atrial Pressure)

32.
Early Diastolic Decrescendo Murmur (Aortic Insufficiency)

33.
Diamond Shaped Systolic Murmur (Mid to late peaking of Aortic Stenosis or HOCM)

34.
Pansystolic Plateau Murmur with Fixed Split S2 (Ventricular Septal Defect)
35. Harsh Diamond-Shaped Systolic Murmur (Aortic Stenosis or HOCM)

36.
Rumbling Diastolic Murmur with Opening Snap (Mitral Stenosis)

37.
Musical, Diamond-Shaped Early Systolic Murmur (Calcific Aortic Stenosis)

38.
Blowing, Decrescendo, Diastolic Murmur (Acute Aortic Insufficiency)

39.
Short, Musical, Early Systolic Murmur (Calcific Aortic Stenosis)

40.
Medium, Midsystolic Murmur (Aortic Stenosis or HOCM)

41.
Long, Pansystolic Murmur (Mitral or Tricuspid Regurgitation, possibly VSD)

42.
Soft, Short, Musical, Diamond-Shaped, Early Systolic Murmur (SEM)

43.
Medium, Musical, Diamond-Shaped, Early Systolic Murmur Of Medium Intensity (Calcific Aortic Stenosis)

44.
Loud, Musical, Diamond-Shaped, Early Systolic Murmur (Calcific Aortic Stenosis)

45.
Innocent Murmur

46.
Harsh Systolic Murmur of Aortic Stenosis

47.
Late Peaking Systolic Murmur (Aortic Stenosis)

48.
Late Peaking Systolic Murmur (Sub-Aortic Stenosis)

49.
Pulmonary Stenosis On Expiration

50.
Holosystolic Murmur (Chronic MR)

51.
Holosystolic Murmur with S3 and Mid to Late Diastolic Murmur (Severe MR)

52.
Late Systolic Murmur with Mid-systolic Murmur (Mitral Valve Prolapse)

53.
Ventricular Septal Defect

54.
Continuous Murmur (Patent Ductus Arteriosus)

55.
Continuous Murmur (Venous Hum)

56.
Continuous Murmur (Softer, Venous Hum- Occluded)

57.
Mid-diastolic rumble with Presystolic Murmur, Loud S1 and Opening Snap (Severe Mitral Stenosis)

58.
Soft Pandiastolic Murmur with Loud S1 (Mild, Chronic Aortic Regurgitation)

59.
Pandiastolic Murmur with Early Peaking Systolic Murmur (Severe Aortic Regurgitation with SEM)

60.
Severe Regurgitant Diastolic Murmur (Aortic Insufficiency)

61.
Late Diastolic, Austin Flint Murmur