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Anatomy and Physiology II Lab Indian River State College http://static.howstuffworks.com/gif/adam/images/en/conduction-system-of-the-heart-picture.jpg Heart Sound Locations and audio Heart Sounds and EKG tutorials Bell or Diaphragm? •Bell low frequencies •Diaphragm High Frequencies Pulmonary valve (to pulmonary trunk) second intercostal space left upper sternal border Aortic valve (to aorta) second intercostal space right upper sternal border Mitral valve (to left ventricle) fifth intercostal space medial to left midclavicular line Tricuspid valve (to right ventricle) fourth intercostal space lower left sternal border Atrial Systole Isovolumetric contraction Rapid Ejection Reduced Ejection Isovolumetric Relaxation Rapid Ventricular Filling Reduced Ventricular Filling Animated Heart Cycle http://library.med.utah.edu/kw/pharm/hyper_heart1.html http://en.wikipedia.org/wiki/File:Cardiac_Cycle_Left_Ventricle.PNG Body Position Arm Position (2mmHg for every inch) Cuff Size and Position Sounds Palpation Estimating BP from pulses (80,70,60)