NORMAL AND ABNORMAL EKGs AND HEART SOUNDS

EKGs

Normal EKG with horizontal axis
Normal EKG with vertical axis
Anterolateral myocardial infarction
Inferior myocardial infarction
Right bundle branch block
Left bundle branch block
Left anterior fascicular block
Left ventricular hypertrophy; diastolic overload
Left ventricular hypertrophy; systolic overload
Cor pulomnale

HEART SOUNDS

Normal
Acute rheumatic fever Loud first sound
Mitral stenosis Accentuated first sound
Mitral stenosis Opening snap
Mitral stenosis Short, mid-diastolic murmur
Mitral stenosis Presystolic murmur
Mitral regurgitation Systolic murmur
Mitral regurgitation Systolic murmur,
high pitched and
blowing type
Mitral regurgiation Systolic murmur,
crescendo type
Mitral regurgiation Late systolic murmur,
crescendo type
Mitral regurgiation Mid systolic click
and late systolic murmur
Mitral regurgiation Holosystolic murmur
Mitral regurgiation Third heart sound
Mitral regurgiation+Mitral stenosisAll sound features of mitral stenosis and mitral regurgitation
Aortic insufficiency Loud systolic ejection murmur,
third sound
Aortic stenosis Opening snap of aortic valve,
early systolic ejection sound
Pulmonary stenosis Harsh systolic ejection murmur
Tricuspid regurgitation Holosystolic murmur,
high pitched,
lower during expiration and
louder during inspiration
Ventricular sepatal defect Continuous murmur
Atrial septal defect Abnormal splitting of
second sound
during expiration
Patent ductus arteriosus Continuous "machinery" murmur
Coarctation of aortaSystolic murmur
Left bundle branch block Paradoxical splitting
during inspiration
Left bundle branch block Abnormal splitting of first sound
Right bundle branch block of first sound
Complet heart block Slow heart rate,varying first sound
Systemic hypertension Accentuated second sound