
07/30/2025
Ever feel like auscultation is just a chaotic jumble of thumps and whooshes? You're not alone. When you're listening to a heart, the main players are S1 (the "lub") and S2 (the "dub"). Think of them as the basic rhythm section of the heart.
Normally, your heart gives you a bit of a break: the period of
🔹diastole (when the heart fills) is longer than
🔹systole (when it contracts).
This timing usually helps you find your bearings.
But here’s where it gets tricky: when a patient has
tachycardia (a fast heart rate), those phases start blending together. It’s like the drummer just sped up the tempo, and suddenly, what was a clear "lub-dub... lub-dub" becomes a rapid "lubdublubdub," making it super easy to misinterpret what you're actually hearing.
🧐So, how do you stay oriented? Keep it simple: S1 is louder at the apex (bottom of the heart, think mitral/tricuspid valve closure), and S2 is louder at the base (top of the heart, aortic/pulmonic valve closure).
📱🩺Train your ear to listen for that loudest point, even when the rhythm speeds up. It’s your internal compass in the cardiac jungle.