On this page we have a records of Myocarditis taken at the apex. Here you can hear :
  1. The first heart sound is softer than normal because of decreased function of the left ventricle.
  2. The second heart sound is normal at the mitral area.
  3. There is a third heart sound caused by the failure of the left ventricle.
  4. A rectangular, medium-pitched murmur of mild mitral regurgitation is caused by the incomplete closure of the mitral valve leaflets.
As you can imagine a person with this type of pathology will have the enlarged left ventricle with decreased vigor of contraction, and in result will have the regurgitant turbulent flow from the left ventricle into the left atrium which is responsible for the murmur. Myocarditis is often the result of a viral infection of the myocardium.  

Maneuver: Seated
Position: Mitral
Chestpiece: Diaphragm


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