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Review

The First Heart Sound

In: Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths; 1990. Chapter 22.
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Review

The First Heart Sound

Joel M. Felner.
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Excerpt

Heart sounds are discrete bursts of auditory vibrations of varying intensity (loudness), frequency (pitch), quality, and duration. The first heart sound (S1) is composed of several high-frequency components; only the first two are normally audible. These two sets of audible vibrations are temporally related to closure of the mitral and tricuspid valves. The first heart sound coincides with contraction of the ventricles, thus identifying the onset of ventricular systole and the end of mechanical diastole.

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References

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    1. Leatham A. The first and second heart sounds. In: Hurst JW, Logue RB, Schlant RC, Wenger NK, eds. The heart, 6th ed. New York: McGraw-Hill, 1985.
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    1. Luisada AA: The sounds of the diseased heart. St Louis: Warren H. Green, 1973.

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