{"id":40522,"date":"2020-09-23T20:27:16","date_gmt":"2020-09-23T14:57:16","guid":{"rendered":"https:\/\/johnsonfrancis.org\/professional\/?p=40522"},"modified":"2020-09-23T20:27:16","modified_gmt":"2020-09-23T14:57:16","slug":"auscultatory-areas","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/auscultatory-areas\/","title":{"rendered":"Auscultatory areas"},"content":{"rendered":"

Auscultatory areas<\/span><\/h2>\n

Precordium is generally divided into four auscultatory areas, but other areas may be checked in specific situations. The common auscultatory areas correspond to the locations at which the corresponding valvular events are better heard.<\/p>\n

    \n
  1. Aortic area: <\/em>Also called primary aortic area <\/em>as there is a secondary aortic area<\/em> along the left sternal edge. Primary aortic area is the 2nd<\/sup> right intercostal space, close to sternum.<\/li>\n
  2. Pulmonary area:<\/em> 2nd<\/sup> left intercostal space, close to sternum.<\/li>\n
  3. Tricuspid area:<\/em> Lower left sternal edge, medial to apex beat.<\/li>\n
  4. Mitral area:<\/em> At the apex beat, usually within the mid clavicular line in the 5th<\/sup> left intercostal space.<\/li>\n<\/ol>\n

    Other auscultatory areas can be used in specific situations, though not in routine clinical examination of all cases:<\/p>\n

      \n
    1. Erbs\u2019s area: <\/em>Third left intercostal space, close to sternum, where the murmur of aortic regurgitation may be better heard. This region is also called secondary aortic area<\/em>.<\/li>\n
    2. Roger\u2019s area:<\/em> Fourth left intercostal space, close to sternum where the murmur of small ventricular septal defect (maladie de Roger<\/em>) is heard.<\/li>\n<\/ol>\n

      In addition to these certain regions are auscultation when specific lesions are suspected:<\/p>\n

        \n
      1. Infraclavicular region (1st<\/sup> left intercostal space): <\/em>The murmur of patent ductus arteriosus may be best heard here.<\/li>\n
      2. Interscapular, scapular and infrascapular regions: <\/em>Collateral murmurs and the bruit of coarctation of aorta may be checked for in these regions.<\/li>\n
      3. Carotids: <\/em>Murmur of aortic stenosis radiates to the carotids. Selective radiation to right carotid indicates supravalvular aortic stenosis. Carotid bruit<\/em> can occur in carotid stenosis due to atherosclerosis and predisposes to stroke. Bruit is the vascular counterpart of murmur.<\/li>\n
      4. Axilla: <\/em>Murmur of mitral regurgitation radiates to the axilla and back. This is usually a feature seen in rheumatic mitral regurgitation with predominant involvement of anterior mitral leaflet. In papillary muscle dysfunction usually the posterior leaflet is involved and the mitral regurgitation murmur radiates medially and to the base of the heart rather than to the axilla.<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

        Auscultatory areas Precordium is generally divided into four auscultatory areas, but other areas may be checked in specific situations. The common auscultatory areas correspond to the locations at which the corresponding valvular events are better heard. Aortic area: Also called primary aortic area as there is a secondary aortic area along the left sternal edge. […]<\/p>\n","protected":false},"author":1,"featured_media":40523,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[10],"tags":[1394,2291,3015,3424,3500],"class_list":["post-40522","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hbc","tag-erbss-area","tag-maladie-de-roger","tag-primary-aortic-area","tag-rogers-area-2","tag-secondary-aortic-area"],"yoast_head":"\nAuscultatory areas - All About Cardiovascular System and Disorders<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/auscultatory-areas\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Auscultatory areas - All About Cardiovascular System and Disorders\" \/>\n<meta property=\"og:description\" content=\"Auscultatory areas Precordium is generally divided into four auscultatory areas, but other areas may be checked in specific situations. The common auscultatory areas correspond to the locations at which the corresponding valvular events are better heard. Aortic area: Also called primary aortic area as there is a secondary aortic area along the left sternal edge. […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/auscultatory-areas\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2020-09-23T14:57:16+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/auscultatory-areas\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/auscultatory-areas\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Auscultatory areas\",\"datePublished\":\"2020-09-23T14:57:16+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/auscultatory-areas\\\/\"},\"wordCount\":322,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/auscultatory-areas\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"keywords\":[\"Erbs\u2019s area\",\"maladie de Roger\",\"primary aortic area\",\"Roger\u2019s area\",\"secondary aortic area\"],\"articleSection\":[\"HBC\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/auscultatory-areas\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/auscultatory-areas\\\/\",\"name\":\"Auscultatory areas - All About Cardiovascular System and Disorders\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/auscultatory-areas\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/auscultatory-areas\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"datePublished\":\"2020-09-23T14:57:16+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/auscultatory-areas\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/auscultatory-areas\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/auscultatory-areas\\\/#primaryimage\",\"url\":\"\",\"contentUrl\":\"\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/auscultatory-areas\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Auscultatory areas\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\",\"name\":\"All About Cardiovascular System and Disorders\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\",\"name\":\"Johnson Francis\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"caption\":\"Johnson Francis\"},\"logo\":{\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\"},\"description\":\"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/author\\\/jf\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Auscultatory areas - All About Cardiovascular System and Disorders","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/johnsonfrancis.org\/professional\/auscultatory-areas\/","og_locale":"en_US","og_type":"article","og_title":"Auscultatory areas - All About Cardiovascular System and Disorders","og_description":"Auscultatory areas Precordium is generally divided into four auscultatory areas, but other areas may be checked in specific situations. The common auscultatory areas correspond to the locations at which the corresponding valvular events are better heard. Aortic area: Also called primary aortic area as there is a secondary aortic area along the left sternal edge. […]","og_url":"https:\/\/johnsonfrancis.org\/professional\/auscultatory-areas\/","og_site_name":"All About Cardiovascular System and Disorders","article_published_time":"2020-09-23T14:57:16+00:00","author":"Johnson Francis","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Johnson Francis","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/johnsonfrancis.org\/professional\/auscultatory-areas\/#article","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/auscultatory-areas\/"},"author":{"name":"Johnson Francis","@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"headline":"Auscultatory areas","datePublished":"2020-09-23T14:57:16+00:00","mainEntityOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/auscultatory-areas\/"},"wordCount":322,"publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/auscultatory-areas\/#primaryimage"},"thumbnailUrl":"","keywords":["Erbs\u2019s area","maladie de Roger","primary aortic area","Roger\u2019s area","secondary aortic area"],"articleSection":["HBC"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/johnsonfrancis.org\/professional\/auscultatory-areas\/","url":"https:\/\/johnsonfrancis.org\/professional\/auscultatory-areas\/","name":"Auscultatory areas - All About Cardiovascular System and Disorders","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#website"},"primaryImageOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/auscultatory-areas\/#primaryimage"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/auscultatory-areas\/#primaryimage"},"thumbnailUrl":"","datePublished":"2020-09-23T14:57:16+00:00","breadcrumb":{"@id":"https:\/\/johnsonfrancis.org\/professional\/auscultatory-areas\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/johnsonfrancis.org\/professional\/auscultatory-areas\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/johnsonfrancis.org\/professional\/auscultatory-areas\/#primaryimage","url":"","contentUrl":""},{"@type":"BreadcrumbList","@id":"https:\/\/johnsonfrancis.org\/professional\/auscultatory-areas\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/johnsonfrancis.org\/professional\/"},{"@type":"ListItem","position":2,"name":"Auscultatory areas"}]},{"@type":"WebSite","@id":"https:\/\/johnsonfrancis.org\/professional\/#website","url":"https:\/\/johnsonfrancis.org\/professional\/","name":"All About Cardiovascular System and Disorders","description":"","publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/johnsonfrancis.org\/professional\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec","name":"Johnson Francis","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","caption":"Johnson Francis"},"logo":{"@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g"},"description":"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal","url":"https:\/\/johnsonfrancis.org\/professional\/author\/jf\/"}]}},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/40522","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/comments?post=40522"}],"version-history":[{"count":0,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/40522\/revisions"}],"wp:attachment":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/media?parent=40522"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/categories?post=40522"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/tags?post=40522"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}