Mitral Stenosis Heart Sound - MEDZCOOOL

[@medzcool]

More heart sounds and murmurs: medzcool.com/auscultate

[@chrizstele5922]

No matter how much i study murmurs,i always forget everything😭😭😭😭

[@abhinavvasan]

I feel your pain😭😭

[@chandrashekarpagidimarry9662]

Same here

[@c.linfordnitin7390]

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]

@@c.linfordnitin7390 which lectures would you recommend to best understand learn ECG and CVS to memorize forever...

[@c.linfordnitin7390]

@@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............

[@austing.8020]

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]

this is what i was wondering....thanks

[@kaytee789]

The graphic was helpful along with speed 0.5 or 0.75 it became easy to understand. Thanks

[@yamifonseca2993]

Absolutely!

[@csingilingemo]

thanks for this suggestion!

[@bitterguard5233]

Thanks for the idea !

[@khalidakafzi5341]

The channel with the most gorgeous videos ever

[@paullemieux1346]

so helpful! I cant’t tell you how much clearer it is after seeing the graphic! Thank you!

[@modjadjibeautymaake7728]

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!!!!

[@BasedoffW]

I’ve always heard my heartbeat like this.

[@dunoonulshibli9548]

Congrats! U have MS 😉

[@serotonin6556]

Get it checked my buddy😂

[@joychaudhari5666]

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

[@anjuchandrasekhar1740]

God. I wish i found this earlier. Creativety meets brilliance. Hats off team.

[@user-gg1vm2cj1y]

I’m 6year médical , this is the day 1/1/2021 ! only day I understood murmurs just for ur help thank u ☺️

[@kokocipher]

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)

[@gokulgokul8718]

I’m a NEET aspirant from India I actually got goosebumps on hearing this Good inspiration Thank you 😊

[@KrishnamKumawat]

Best of luck, and best of mehnat 👍🏼

[@muwenpan773]

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]

Thanks for yur comment i understood very well now🙏🙏

[@hope_9271]

Thanksssss ❤❤❤❤

[@gobigapadmanabhan2250]

Thank you!

[@samgaming5215]

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.

[@user-rc9zt6io6c]

Turn it on fast of 0,25 and enjoy the murmer

[@kayal1403]

😂😂😂

[@CheriCheriLady95]

THE Best channel on KZbin! Your videos are extremely helpful!!

[@keiferminehart4582]

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.

[@entropy7888]

I’m not even a medical student, but this is just kind of cool.

[@mylifestorys]

THANK YOU SO MUCH YOU SAVED MY MED SKU LIFE

[@vaishali2296]

Thank you so so much! Mitral Stenosis is rare in clinical practice and this is great !

[@devanshuradia3466]

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!

[@idrisabidia]

I just want to thank you so much for the great work

[@hanishamsaldeen3926]

The answer is B. Rheumatic heart disease

[@LifeLineJAT]

how????? ,,,,,,,,,no h/o infection

[@nheanpanharithichout8620]

@@LifeLineJAT Most of the causes is Rheumatic Heart Disease that cause by Beta hemolytic streptococcus group A

[@silviomartinez7286]

@@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]

@@silviomartinez7286 but also it says no shortness of breath, but rheumatic heart disease causes that!

[@hassanalkeswany]

THANK YOU SO MUCH!!! I cant understand why some people would dislike something great and helpful like this video.:)

[@Priyanka-qk9ur]

Guys,its better if you listen to it in 0.5x speed. It helped me distinguish the opening snap from S2.

[@raghadjou779]

Why I forget this..

[@santyguita]

Great explanation and perfect sound. Thank you

[@ranimnaoum5952]

Thank you! This video is very useful and a source of motivation! I loved the graphic in 1:00

[@jameer8225]

Looks like a background when a person is dancing onstage

[@albinarvidsson3736]

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).

[@user-dx7dw9bl6t]

Thank you so much ✨

[@azraalimein644]

This is amazing and very helpful.. Thank you

[@serotonin6556]

Thanks for the video and tht amazing graphics

[@Nizmeister92]

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]

I hear the S2 + snap first then the murmur and the S1

[@saraf7151]

Yes! I saw that too

[@dawoodumer524]

The thing which u r calling murmur is actually a loud S1

[@dakshinanair2398]

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]

Agree

[@8habib8]

well done guys .. I'm a big fan of your work .. keep it up:)

[@nawarajshrestha4949]

Thank you so and so much.This video inspired me a lot, thanks.

[@habeepti]

Amazing vid!!! Thank you!

[@pouryamomeni9938]

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

[@mirwaisaryan]

Thank you!

[@ahmadjumaa420]

It's very helpful vedio, thanks a lot 🙏 😊

[@yasminyouyuo]

thank you very much

[@seanli2164]

Thank you so much! It is so helpful!

[@saarvinmy]

Great graphics 👌🏽👌🏽👌🏽

[@mohitzambare]

Watch at .5 from 1 min and you'll get hold of it

[@TheLeukemiaDoctor]

God level Videos

[@abdalla1-v4c]

Does Valsalva maneuver make the sound quieter?

[@Doctor_DDrr]

Thanks

[@محمدطالب-ج3ع]

You are the best

[@nabilasheherin2511]

Amazing, Thanks...

[@aishavariella295]

Thanks a lot! So helpful

[@dingdong436.]

Thank you very much.. Really helpful series of videos!!😍🥰

[@medicosstation5231]

Ultimate

[@brro.abd.almoneim1293]

What is the answer for the case?

[@farhankhan-sv6bd]

Graphic representation of murmur doesnt goes properly @1:10 rest of the video is wonderful 👍

[@sawhasan7008]

great workkkkk

[@sumanthmanjunath7377]

@Medzcool how do we differrntiate opening snap from Split S2 ?

[@butterswang3891]

Thanks a lot. Really really helpful! Are these heart sounds true heart sounds recorded, or simulations?

[@Zain.Basi1]

Wow wow thanks!

[@csongorottodande9384]

This sounds like the train coming Bucharest to Targu Mures

[@christyloveless3460]

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]

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 🤔🤔

[@jakubszudrawski1324]

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

[@prathikhg7181]

After a valsalva maneuver preload will decrease sooo there has to be a decrease sound right?????

[@RobertoGutierrez-tj4gn]

In the first aid says that standing valsava maneuver (strain phase) decreases this murmur Can I get an explanation?

[@shehzadalam2426]

standing valsalva decreases preload ...... that means less blood flow through stenosed value which eventually cause a decrease in murmur

[@nheanpanharithichout8620]

The answer must be B

[@firstlady149]

But it was said no infectious symptoms in the case hmm..

[@pedropassaglia]

thanks, excelent.

[@BayAreaLakers]

I believe Valsalva decreases the intensity of the murmur but otherwise great video

[@Meryem_Oksuz]

What is the answer? i can't find, is that Rheumatic heart disease?

[@sg0727]

S4 is also heard . As it should be present in MS 🤔

[@anandkpradeep7031]

How to identify decresendo crescendo

[@michaeldebeau6917]

This was very good.

[@sabitulislam608]

1:00

[@Owaeyssdesign]

amazing

[@drbabarminhas]

لا اله الا الله وحده لا شريك له, محمد رسول الله

[@praise3700]

😫😫😫 where’s the opening snap??

[@jonathanp9721]

grahpic+sound at 1:00

[@ioanaherghea2819]

Is the doubled sound S2+Click (1.18) ? Could it be S2(pulmonary)+S2(aortic)?

[@PraXii1109]

U guys are fuckin awesome.

[@tripti1339]

This is so difficult

[@debhistorymaker]

I felt the murmur didn't correspond to the graphics. even at 0.5 x speed @.@ OMG

[@maximilliantrivit151]

Is there an s4 also i this audio recprding?

[@doc.g9497]

sam emmy I think that’s the diastolic opening snap.

[@No-yk1th]

01:00

[@lovelypansy]

❤️

[@wafaa8555]

😊😊

[@Clyne69]

This is very similar to S3 gallop :(

[@teesherru3227]

1:01

[@tatasyahwaode9000]

0:59

[@jardoi6]

diastole is way too short, throws everything off

[@عباسستارعبيدزرياب]

When study murmur I feel GERD 🤮

[@sheradabogle1621]

these videos are always too fast

[@zeenathzulfa3913]

Decrease the speed dear

[@idkwhattonameit8359]

B

[@fjor1816]

Rheumatic heart disease