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Normal
- Normal Sinus Rhythm (~60 bpm)
- Normal Sinus Rhythm (~90 bpm)
- Normal Sinus Rhythm (~130 bpm)
- Normal Sinus Rhythm (~180 bpm)
- Split S1
- Split S2
- Split S1 with Split S2
- S3
- S4
- Quadruple Gallop
- Summation Gallop
- Functional (innocent) murmur
Abnormal
� Diastolic
- Aortic Insufficiency (regurgitation)
- Mitral Stenosis
- Pulmonic Insufficiency (regurgitation)
- Tricuspid Stenosis
� Systolic
- Aortic Stenosis
- Mitral Insufficiency (regurgitation)
- Mitral Prolapse
- Pulmonary Stenosis
- Systolic murmur (early)
- Systolic murmur (late)
- Systolic murmur (pansystolic)
- Tricuspid Insufficiency (regurgitation)
- Ejection click
� Miscellaneous
- Atrial Fibrillation
- Atrial Septal Defect
- Bigeminy
- Coarctation of the Aorta
- Ebstein's abnormality
- Patent Ducutus Arteriosus
- Pericardial Friction Rub
- Ventricular Septal Defect
- Venus Hum
SOURCE: Case Western Reserve University
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| CONDITION | SOUND CHARACTERISTIC | FILE SIZE
(Kb) | DURATION
(Seconds) |
|---|
| Normal | Normal heart sounds | 47.3 | 2.20 |
| Acute rheumatic fever | Loud first sound | 43.1 | 2.00 |
| Mitral stenosis | Accentuated first sound | 40.6 | 1.89 |
| Mitral stenosis | Opening snap | 46.1 | 2.04 |
| Mitral stenosis | Short, mid-diastolic murmur | 39.7 | 1.80 |
| Mitral stenosis | Presystolic murmur | 43.1 | 2.50 |
| Mitral regurgitation | Systolic murmur | 38.8 | 1.80 |
| Mitral regurgitation | Systolic murmur,
high pitched and
blowing type | 32.3 | 1.50 |
| Mitral regurgiation | Systolic murmur,
crescendo type | 32.3 | 1.50 |
| Mitral regurgiation | Late systolic murmur,
crescendo type | 32.3 | 1.50 |
| Mitral regurgiation | Mid systolic click
and late systolic murmur | 37.8 | 1.76 |
| Mitral regurgiation | Holosystolic murmur | 32.3 | 1.50 |
| Mitral regurgiation | Third heart sound | 37.0 | 1.72 |
Mitral regurgiation+
Mitral stenosis | All sound features of
mitral stenosis and
mitral regurgitation | 40.6 | 2.14 |
| Aortic insufficiency | Loud systolic ejection murmur,
third sound | 30.8 | 1.97 |
| Aortic stenosis | Opening snap of aortic valve,
early systolic ejection sound | 22.3 | 1.43 |
| Pulmonary stenosis | Harsh systolic ejection murmur | 27.8 | 1.78 |
| Tricuspid regurgitation | Holosystolic murmur,
high pitched,
lower during expiration and
louder during inspiration | 91.7 | 4.26 |
| Ventricular sepatal defect | Continuous murmur | 24.2 | 1.54 |
| Atrial septal defect | Abnormal splitting of
second sound
during expiration | 42.6 | 1.98 |
| Patent ductus arteriosus | Continuous "machinery" murmur | 40.5 | 2.59 |
| Coarctation of aorta | Systolic murmur | 23.4 | 1.49 |
| Left bundle branch block | Paradoxical splitting
during expiration | 32.4 | 1.50 |
| Left bundle branch block | Paradoxical splitting
during inspiration | 40.3 | 1.87 |
| Right bundle branch block | Abnormal splitting
of first sound | 35.4 | 1.64 |
| Complet heart block | Slow heart rate,
varying first sound | 82.6 | 3.84 |
| Systemic hypertension | Accentuated second sound | 33.9 | 1.57 |
COURTESY:SMSO.NET
www.med.ucla.edu/wilkes/inex.htm
This site was designed in fourth year of medical school at UCLA primarily for second-year medical students to help them appreciate the different audio characteristics of heart murmurs and breath sounds. Click on the tabs to cross between general categories, and use the text buttons to the left to reach individual topics within each area. Enjoy!
http://content.cdlib.org/xtf/view?docId=ft9w1009p7&brand=eschol
Understanding
Heart Disease
ARTHUR SELZER
UNIVERSITY OF CALIFORNIA PRESS
here is a site for ECG library www.ecglibrary.com/ecghome.html?
Contents
1-ischaemic heart disease
2-hypertrophy patterns
3-atrioventricular (AV) block
4-bundle branch block
5-supraventricular rhythms
6-ventricular rhythms
7-pacemakers
8-Wolff Parkinson White syndrome
9-miscellaneous
ofcourse this is besides normal ECG, history and exampleshope you like it 
