Examples of mitral stenosis murmurs

[@StrongMed]

An opening snap only occurs in some cases of mitral stenosis. Because mitral stenosis is a relatively rare murmur, the opening snap is rare as well. When it does occur however, it always follows S2, and can be distinguished from a split S2 because an opening snap tends to be spaced farther apart from S2, and because the opening snap is lower pitched.

[@saitejan]

opening snap is high pitched.S3 is low pitched.split s2 is same pitch.listen to the 1st MS murmur in slow speed to note the same.Thank you.

[@mujahid8842]

thanks for these excellent vid

[@mujahid8842]

i would request you to present some short cases of common diseases and long cases too thanks @strongMed

[@StrongMed]

Johnyster, sorry just saw this comment now...An opening snap tends to occur earlier than S3 (though usually later than a normally split S2), be higher pitched than an S3 (though often lower pitched than S2), and almost always crisper and shorter in duration than S3, the latter of which typically sounds like a low thud.

[@Renku07]

Excellent! Thanks for sharing helping us learn what in some bad schools (like Unibe in CR) they don't teach us.

[@angelaalani943]

Thanks again for another great lecture. Just wondered if you had any examples of a metallic heart sounds related to a mitral valve replacement? also, if a tissue valve replacement, is there a difference in the sound? with thanks

[@StrongMed]

I'm sorry, but I don't have any audio examples of a mechanical mitral valve. I've never appreciated any significant difference in auscultation following a bioprosthetic MVR, but a 35 year old paper in Annals of Int Medicine (PubMed ID: 7294551) claims that 50% of patients will have an audible opening sound of the mitral valve in early diastole, and that they also can have diastolic rumbling murmurs similar to MS (even if the valve is working properly). Again, I've never appreciated this, which may be because the valve replacement material and/or procedure have likely changed significantly during that time.

[@HafizahHoshni]

OMG. YOUR VIDEO IS SO AMAZING! Thank you endlessly! 😊😊 23/3/2019

[@abaskarim41]

This was super helpful

[@karthiksaravanan4006]

Absolutely beautiful

[@rttpn]

2:23

[@mhndjaff]

AMAZING EXPLANATION

[@evegroult5184]

Fantastic video thankyou

[@mariamseturidze2642]

Thank you sooo much ❤️❤️❤️ i really understood it 💫

[@nickcassedy4795]

Thank you so much♥️

[@hasnainashiq9179]

really helping one...thanks a lot

[@drakmrcp2042]

hasnain ashiq watch ECho showing MS

[@KIMOSALAH]

Amazing, really amazing

[@bkp4321]

Thank you very much

[@pedropassaglia]

Very nice, thanks.

[@thasleenak5684]

Sir you are great 🙏

[@Johnyster]

How to differentiate an opening snap from the s3 sound ?

[@freydun]

OS is followed by murmur

[@DipayanBanerjee]

@@freydun as the mitral stenosis gets into advanced stage.opening snap disappears. so not an obvious differentiation, so for you to differentiate hear the murmur which is accentuated but s3 is a low frequency heard along with s2 :))

[@exiledbyTS]

S3 is low pitched and heard at a localised area, where as OS is high pitched and can be ausculatated at all over the precordium

[@stanzenrabyang3198]

Thank you

[@islamibrahim9901]

Amazing. ... thanks

[@udaypmishra1]

do an opening snap always follow S2?if not any special circmstance in which it does?

[@rozahmed6347]

Uday Mishra there is no opening snap in ms following RHD i.e in carrycomb's murmur

[@oussamamasri5515]

thanks a lot this is really good :)

[@sherifkaoud8936]

thank u

[@latikas1037]

good video

[@unknownperson-pt7bf]

Best 😭😭

[@soni581]

The best

[@abc62943]

great, thank u a lot!

[@mrimri7982]

Legendary

[@tonizvjezdusina]

Amazing! Tnx :)

[@ДенисГончар-э9л]

First beat is best

[@승조-i4n]

중요

[@DrZebUnnisa]

thnksss...:)

[@生米-l3h]

❤️

[@DB-yi5sm]

Ruftata

[@sherifkaoud8936]

thank u

[@rrss7647]

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