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CVS Assessment
Health Assessment Cardio Vascular System
| Question | Answer |
|---|---|
| Patient's position to examine heart | Supine 30 degrees |
| Bruits | hummming vibrations |
| anatomic location of heart sounds | interspaces, midsternal,midclavicular, axillary lines |
| where is S1 louder? | Apex |
| where is S2 louder? | Base |
| Heart sounds are result of event: | hemodynamics, conduction, movement of heart |
| systolic | contration or emptying phase |
| diastolic | relaxation or resting/filling phase |
| cardiac output | amount of blood ejected per minutestroke volume x heart rate |
| S1 | beginning of systole, closure of Mitral and Tricuspid valves, apex, Lt lateral sternal border |
| S2 | ending of systole, closure of pulmonic and aortic valves, base, 2nd Rt intercostal space |
| S3 | extra heart sound that occurs soon after the normal two "lub-dub" heart sounds (S1 and S2). Also called protodiastolic gallop, ventricular gallop. |
| S4 | extra heart sound that occurs immediately before the normal two "lub-dub" heart sounds (S1 and S2). S4 has also been termed an atrial gallop or a presystolic gallop |