Mitral stenosis (lower left sternal border area)
by Franklin B Saksena, Ranganathan Narasimhan, Sivaciyan Vahe

The Art and Science of Cardiac Physical Examination (With Heart Sounds, Jugular and Precordial Pulsations)

by Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B Saksena
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This recording is a 40-year-old woman with mitral stenosis. This recording taken at the lower left sternal border area. This recording is in the standing position. On standing there is an immediate but a slight tachycardia. After a few beats however, one can note that if anything the A2-OS interval either remains the same or at best widens slightly. But it does not however shorten.

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