excellent video, but as a Physician of over 12 years, I can tell you that hearing the nuances, like crescendo/decrescendo and ejection clicks, etc. is EXTREMELY difficult unless you are really gifted at this skill. You are lucky to get a location, radiation and whether it's systolic or diastolic; nearly every physician will need an echocardiogram to nail down the exact murmur type at that point. On paper though, it's importnat to know about the other features for boards questions and the like.
+Melissa Melissa OK. What is the timing of the murmur (systolic or diastolic), the volume of it (1,2,3,4,5 or 6), and the location (aortic, pulmonic, tricuspid, or mitral)? MANY MANY children have soft systolic murmurs that are not signs of any heart problems, We call them "innocent murmurs". When you find out the exact condition that causes the murmur, please let me know what it is called. Thanks
Excellent presentation. To make it even better, they should replay the murmur sounds after they explain the cause of each murmur. The only time they play the sounds is before they explain the cause. Otherwise, it's great!
Thank you 100 times!!! I am in nursing school and I tell you I cannot remember things that I have to read in my book very well because the why and the how behind the murmurs is not important when learning how to do a physical assessment of the heart and neck. Before I watched this video, I tried to remember and regurgitate everything about S1, S2, APe To Man, definition of murmur, 2nd left intercostal space, blah blah that I could, but my memory is weak using this method, I forget things a little too easily like this. However, for some reason, if I just watch a video on HOW the heart works and WHY you hear a murmur in this area or WHY it radiates to the axilla, I remember it 10 times better!! So thank you so much for these videos. They really help.
I agree with another commentator that said it would be more beneficial to hear each heart sound after the explanation to help solidify what we just learned. otherwise great video!
My brother just had aortic valve replacement, due to stenosis, on May 9...... His valve was also leaking blood.....back into the ventricle, as I am understanding this more..... I am already fascinated with all of this kind of teaching, even WITHOUT my brother having surgery, ever since I was growing up, and so thank you for all of these videos.... Wish we had the internet when I was in school....
Most simple explanation for murmurs I have found so far. Brilliant that you explain what is happening in the heart as you go along using a diagram. Very helpful, thank you.
I have a heart murmer and it turned out one of our cats had one and wr never knew even the vets didnt know i was like wow hes just like me..had a very sepcial bond with him...that could of been why..he knew my heart was different like his..i had him since i was a baby..sadly he passed as age 23 same age as me...am 26 now and i still miss him... he was always there
Funnily enough, every time I am admitted to the hospital for anything that isn't an emergency my faint Aortic murmur is used as a case study example for medical students/interns at the hospital! It's nice to know what's actually happening there!
i’ve been told I have a heart murmur but never which kind. tonight i’ve been having severe chest pain so i’m deciding to go to the ER or not. I listened to my heart from all angles with a stethoscope and it sounds like a loud rubbing/dragging sound. the example it matches best seems to be aortic regurgitation or possibly aortic stenosis. I also noticed there a frequent triple beats too.
I have listened to hearts, but only for the pulse (regular or irregular) For the murmur I was hoping they would have started with the sound of a normal heart then that of the murmurs. That plus replay sound after each presentation. Even with that, this was super helpful> great explanation:)
This is a very helpful video. Easy to understand. The diagrams are good and help me to understand the whole subject better. Thanks for taking your time in producing such good video😉
This video is excellent! I keep coming back to it every once in a while. I agree with everybody else that has said this is the best video on murmurs we have on TH-cam. Also his voice is dreamy XD
I own a stethoscope and I try to listen to my heart every once in awhile, since I'm prone to chest pain and that stuff.I noticed there are only several instances I can hear my murmur; after any exertion (walking up the stairs), lying or sitting in different positions, and also, how much I exhale (to produce more clear sounds of the heart)
Amazing description and nice illustrations. Thank you so much for these great videos. Easy-understanding, short and practical ! A big thank from Vietnam!
Lately, i have searched for so many videos to help me understand different heart sounds, this one is simply the best, thank you so much, really appreciate it
Definitely because you don't have it. It is absolutely horrible. Can't breathe, sleep or do any activities you love doing. Walking 15 feet winds me and then the heart muscle begins to hurt terribly...
for your kind information......word crescendo and decrescendo both are Spanish words,, mean increasing(crescendo),and decreasing(decrescendo).......thnxs
Hey guys, I'm proud to make recommendation of Mr Brooks to whom I met when I was preparing for my NCLEX RN exams. Thanks to him I finally celebrated after several trials. I'll forever be grateful to him. You can contact Mr Brooks via text or whatsapp: +12404085402. I'm overwhelmed with joy. He has got everything you need to succeed in your exams be it RN or LPN and you will see reasons to celebrate the way I do.
Great video! Im no medical professional I just have a passionate curiosity and this video was so interesting and thorough. Thanks for your time and for sharing this. Subbed. Looking for audio of healthy patients’ hearts through a stethoscope, compared to audio of auscultations of hearts with issues or in or in poor health. Cheers!!! 😊
Thank you so much....I have always been confused about this heart sounds, which is which until I got into your awesome Vids. You're a definitely a big help😘
What are the blue structures at 3:39 supposed to represent? What are the white rays emanating from the blue? This needs clarification, can some one explain?
Thank you sir for helping and inspiring me... Taking inspiration from you I also made some for helping undergraduate medical student worldwide from reference book . Thank you all Khan academy team for inspiring ..keep helping sir...
At 2:28 you said we are talking about left sided murmurs AS, MR and MVP. can you clarify why you said left sided? i thought AS would be heard best in the Aortic Area which is on the right. please I'm confused. thanks.
Miraculata Ol He only talked about the left atrium and ventricle of the heart. These includes the mitral and aortic valve. And yes you're right about AS. It is best noticible from the right side because of the way the heart is placed in the chest. The blood flows actually towards the right side into the aorta. (Check anatomy) Ps: Sorry if there are english errors :P
Miraculata Ol your second comment: He said that the pulm. Stenosis is in your right half of the heart. And what you're saying is what he said; best heard from left 2nd intercostal
Would you consider doing a series tailored to veterinary cardiology? This was extremely helpful as far as physiology goes but obviously the anatomy is a bit different
HELP PLEASE: At the end of systole, RV pressure< Pulmonary artery pressure & LV pressure< Aortic pressure Is that correct? Because I cannot find any values documented for end-systolic ventricular pressures.
I've heard three of the different sounds. I've heard all the ones that have no background scratching noise. Some of them in newborn babies bc I used to give ECG's to patients in NICU.
0:12 Aortic stenosis
0:19 Mitral Regurg
0:25 Mitral valve prolapse
0:35 Aortic regurg
0:43 Mitral Stenosis
0:53 S3
0:57 S4
Really helpful, thanks
Not all heroes wear capes! Thank you!
Noice
Thank you!
I have S3
excellent video, but as a Physician of over 12 years, I can tell you that hearing the nuances, like crescendo/decrescendo and ejection clicks, etc. is EXTREMELY difficult unless you are really gifted at this skill. You are lucky to get a location, radiation and whether it's systolic or diastolic; nearly every physician will need an echocardiogram to nail down the exact murmur type at that point. On paper though, it's importnat to know about the other features for boards questions and the like.
My daughter is 19 months and just now I am being told she has a murmur
+Melissa Melissa OK. What is the timing of the murmur (systolic or diastolic), the volume of it (1,2,3,4,5 or 6), and the location (aortic, pulmonic, tricuspid, or mitral)? MANY MANY children have soft systolic murmurs that are not signs of any heart problems, We call them "innocent murmurs". When you find out the exact condition that causes the murmur, please let me know what it is called. Thanks
jawojnicki h
I agree entirely with that
I know this comment is old and this is probably a dumb question but. Why are they so hard to hear? is there a specific reason or is it just how it is?
Excellent presentation. To make it even better, they should replay the murmur sounds after they explain the cause of each murmur. The only time they play the sounds is before they explain the cause. Otherwise, it's great!
+Simple Hermit 😂lol
Jordan b
+Simple Hermit Name checks out. XD
what is the name of the program he used?
This sounds apply for dogs/cats?
You explained in 12min what multiple professors failed to explain in an entire semester 🥺 Thank u!
This is the best video on heart murmurs ever , thank you very much sir ! You are a Genius
Thank you 100 times!!! I am in nursing school and I tell you I cannot remember things that I have to read in my book very well because the why and the how behind the murmurs is not important when learning how to do a physical assessment of the heart and neck.
Before I watched this video, I tried to remember and regurgitate everything about S1, S2, APe To Man, definition of murmur, 2nd left intercostal space, blah blah that I could, but my memory is weak using this method, I forget things a little too easily like this.
However, for some reason, if I just watch a video on HOW the heart works and WHY you hear a murmur in this area or WHY it radiates to the axilla, I remember it 10 times better!!
So thank you so much for these videos. They really help.
thanks from Japan.
Before watching this, I have never imagined that I could understand this topic.
河村翔平 same haha
Which idiots didn't like this video? Amazing!! thank you for your efforts. It helps me so much
I agree with another commentator that said it would be more beneficial to hear each heart sound after the explanation to help solidify what we just learned. otherwise great video!
My brother just had aortic valve replacement, due to stenosis, on May 9...... His valve was also leaking blood.....back into the ventricle, as I am understanding this more.....
I am already fascinated with all of this kind of teaching, even WITHOUT my brother having surgery, ever since I was growing up, and so thank you for all of these videos.... Wish we had the internet when I was in school....
0:12 Aortic Stenosis (discussion begins @5:00)
0:18 Mitral Regurgurgitation (discussion @8:30)
0:25 MVP
0:36 Aortic Regurgitation
0:44 Mitral Stenosis
0:50 S3
0:57 S4
Most simple explanation for murmurs I have found so far. Brilliant that you explain what is happening in the heart as you go along using a diagram. Very helpful, thank you.
I graduated last month but still sometimes ı watch this video. This is incredibly helpfull to understand cardio.thank you so much for this video..
I'm a medical student and I can't thank enough for providing this.
I have a heart murmer and it turned out one of our cats had one and wr never knew even the vets didnt know i was like wow hes just like me..had a very sepcial bond with him...that could of been why..he knew my heart was different like his..i had him since i was a baby..sadly he passed as age 23 same age as me...am 26 now and i still miss him... he was always there
They say if you can't explain something simply, you don't really understand it. It doesn't get simpler than this. Thank you.
Funnily enough, every time I am admitted to the hospital for anything that isn't an emergency my faint Aortic murmur is used as a case study example for medical students/interns at the hospital! It's nice to know what's actually happening there!
This has cleared up so much confusion from my cardiology placement. I finally know what "pan-systolic" means :)
i’ve been told I have a heart murmur but never which kind. tonight i’ve been having severe chest pain so i’m deciding to go to the ER or not. I listened to my heart from all angles with a stethoscope and it sounds like a loud rubbing/dragging sound. the example it matches best seems to be aortic regurgitation or possibly aortic stenosis. I also noticed there a frequent triple beats too.
I have listened to hearts, but only for the pulse (regular or irregular) For the murmur I was hoping they would have started with the sound of a normal heart then that of the murmurs. That plus replay sound after each presentation. Even with that, this was super helpful> great explanation:)
One of the BEST teachings I’ve seen
This is FANTASTIC!!! Thanks for posting. I found them right on time. THANK YOU SOOOOOO MUCH!!! I have 2 weeks to learn these!
I wanted to see this because I have a heart murmur so thank you!
tori johnsen does it affect you? Can it kill you? Im really scared about this. It sounds very serious, is it?
I also have it
I have one too, I'm going to a cardiologist next week
Best explanation on murmurs, I heard so far. Thumbs up!
This is a very helpful video. Easy to understand. The diagrams are good and help me to understand the whole subject better. Thanks for taking your time in producing such good video😉
00:12 主動脈瓣狹窄
00:19 二尖瓣回流
00:25 僧帽瓣脫垂
00:35 主動脈瓣回流
00:43 二尖瓣狹窄
00:53 第三心音
00:57 第四心音
This video is excellent! I keep coming back to it every once in a while. I agree with everybody else that has said this is the best video on murmurs we have on TH-cam. Also his voice is dreamy XD
The heart is such an amazingly elegant system. Well done evolution.
I love you Joshua Cohen. Not in a weird way, but its real.
it would be great if you labelled the murmurs in the beginning of the video, or played them again when\after describing them.
Super good video for EMT's and anyone. Thank you!!!!
Excellent presentation. I finally understand it! Really recommend.
I own a stethoscope and I try to listen to my heart every once in awhile, since I'm prone to chest pain and that stuff.I noticed there are only several instances I can hear my murmur; after any exertion (walking up the stairs), lying or sitting in different positions, and also, how much I exhale (to produce more clear sounds of the heart)
How beautiful 💜 I understood this topic now. Thank you so much. I am grateful to you :) 🙏
Wow this video is brilliant.... So much simplified...... Perfect like logic and reasoning
.l m
M ruts; $VCard xD
9 km
Amazing description and nice illustrations. Thank you so much for these great videos. Easy-understanding, short and practical ! A big thank from Vietnam!
best explanation ever, thank you so much for your help !!
Lately, i have searched for so many videos to help me understand different heart sounds, this one is simply the best, thank you so much, really appreciate it
Guys you are the best, awesome explanation, 2 days after listening to you already heard everything at the hospital :-)
Excellent work. Congratulations and thank you 👍
I like mitral regurgitation for some reason. I don't know why.
Because you don't have it, I'm guessing!! ;O) :OP
Definitely because you don't have it. It is absolutely horrible. Can't breathe, sleep or do any activities you love doing. Walking 15 feet winds me and then the heart muscle begins to hurt terribly...
Thank you i never seen doctor like you i love to be v may doctor thanks again
for your kind information......word crescendo and decrescendo both are Spanish words,, mean increasing(crescendo),and decreasing(decrescendo).......thnxs
I keep coming back to this video, from med school to being a doctor.
Hands down best video on the topic!
Hey guys,
I'm proud to make recommendation of Mr Brooks to whom I met when I was preparing for my NCLEX RN exams. Thanks to him I finally celebrated after several trials. I'll forever be grateful to him. You can contact Mr Brooks via text or whatsapp: +12404085402. I'm overwhelmed with joy. He has got everything you need to succeed in your exams be it RN or LPN and you will see reasons to celebrate the way I do.
Excellent!! You have the talent of explaining hard things so easily
This is so great, thank you. The visuals combined with the heart sounds (in addition to the explanations) was so helpful.
this was very helpful hope I'll nail my exam wiz this vid...teaching learning process should be like this...it was so interesting
Incredibly visual and educative, thank you! I enjoyed your explanations why murmurs sound the way they do.
you are the best teacher in the world
Thank you! It's very clear to understand this topic...
Great video! Im no medical professional I just have a passionate curiosity and this video was so interesting and thorough. Thanks for your time and for sharing this. Subbed.
Looking for audio of healthy patients’ hearts through a stethoscope, compared to audio of auscultations of hearts with issues or in or in poor health.
Cheers!!! 😊
And today im healthy god u did it again
Very good explanation and very clear to understand. Thank you!
Hello , many thanx I have learned a lot from you but please can you tell me which program are you using ?? anyone can answer please?
thank you very much!proud to be a bangladeshi....
absolutely the best video about these very important murmurs !!!!
Very neatly put. Interesting, informative and simple.
Thank you so much....I have always been confused about this heart sounds, which is which until I got into your awesome Vids. You're a definitely a big help😘
thank you alot it was really helpful but if you could put the sounds again after you finished talking about each one it would be great thanks again
Excellent tutorial! Thank you.
Thank you, from med students everywhere!
very educational thanks for the link mr cat
thank u so much that's really helped a lot and in making concept. God bless you
Never imagined this was understandable. Wow! Thank you!
the tricuspid valve auscultationpoint is in the right side not left.
What are the blue structures at 3:39 supposed to represent? What are the white rays emanating from the blue? This needs clarification, can some one explain?
clear and concise. excellent. A great teacher.
The best video in cardio!Thank you
What is what? Please explain for each sounds heard
Thank you sir for helping and inspiring me...
Taking inspiration from you I also made some for helping undergraduate medical student worldwide from reference book .
Thank you all Khan academy team for inspiring ..keep helping sir...
At 2:28 you said we are talking about left sided murmurs AS, MR and MVP. can you clarify why you said left sided? i thought AS would be heard best in the Aortic Area which is on the right. please I'm confused. thanks.
also at 8:07 you said that pulmonary stenosis is heard on the right side of the heart. isn't it supposed to be on the left 2nd intercostal space?
Miraculata Ol He only talked about the left atrium and ventricle of the heart. These includes the mitral and aortic valve. And yes you're right about AS. It is best noticible from the right side because of the way the heart is placed in the chest. The blood flows actually towards the right side into the aorta. (Check anatomy)
Ps: Sorry if there are english errors :P
Miraculata Ol your second comment: He said that the pulm. Stenosis is in your right half of the heart. And what you're saying is what he said; best heard from left 2nd intercostal
DutchGamer 98 Thank you. I completely blanked on my anatomy. thanks.
captions are incredible
speechless....just want to say tnx
What software do you use to make the presentation
Awesome Explanation.. best i ever heard thanq so much...
Excellent presentation. Love it ❤
What an excellent video on murmurs!
+Ctinaa19 - Would you say you want mur and mur?
Fantastic production; great for cementing all these concepts.
Subscribed after watching this
Would you consider doing a series tailored to veterinary cardiology? This was extremely helpful as far as physiology goes but obviously the anatomy is a bit different
You made this subject so easy, great explanation, thank youuu
bestest videoo on heart murmers.
Really done a great job at simplifying the concept!
HELP PLEASE: At the end of systole, RV pressure< Pulmonary artery pressure & LV pressure< Aortic pressure Is that correct? Because I cannot find any values documented for end-systolic ventricular pressures.
Great video!! Thank you so much!
Thanks a lot for such helping video.
Thank you kind sir. I only wish that i understood this when i was in medschool
thanks so much for this vdo, helping to teach my students
Which playlist is this video on? i want to watch the others in this series. In particular, the ones that come before it.
Thanks for solving my problem
My brother just had aortic valve replacement earlier this month... may 9....
I've heard three of the different sounds. I've heard all the ones that have no background scratching noise. Some of them in newborn babies bc I used to give ECG's to patients in NICU.
+Vicki Bee I mean I've heard 3 of them on auscultating equipment. The others were on an echocardiogram and only in class.
thank you so much from the egyptian intensivests
مصر. اي بس يا دكتورا
muhammad nada
Thank you very much. This really helped me a lot!
So so helpful n nicely explained!!
Excellent video.Thanks.
Excellent demonstration. But I have a doubt about the explanation of the radiation of mitral regurgitation
great and simple explaination......
Amazing. Very helpful. Thank you!