Apex area of supine position
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 taken from the apex area of supine position a 25 year old man with atypical chest pain and palpitations. This recording shows good intensity S1 and S2. There is a sound in the middle of systole, which is high frequency in character and therefore is a midsystolic (non-ejection) click. The click appears to occur, perhaps slightly earlier.

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