Severe mitral stenosis
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 is a recording from a patient with severe mitral stenosis, taken at the lower left sternal border area. Note the typical loud S1 followed by the S2 and the OS. The S2-OS interval is relatively short. The trill is so obvious and it is noticeable in several beats.

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