Auscultation of the Heart-仁济临床医学院诊断学课件.pptVIP

Auscultation of the Heart I. Auscultatory Valve Area 1. MV: apex, fifth left intercostal space, medial to the midclavicular line 2. PV: second left intercostal space 3. AV: second right intercostal space 4. AV2: left third intercostal space 5. TV: lower part of sternal 6. Other part II. Auscultatory order Apex?PV ?AV ?AV2 ?TV 1. HR Varies with age, sex. Physical activity and emotional status Normal adult: 60-80/min Sinus tachycardia: 100/min Sinus bradycardia: ?60/min 2. Heart rhythm 1) Sinus arrhythmia 2) Premature beat: A sudden extrasystole of th