Heart Murmurs Made Easy - Aortic and Mitral Heart Murmurs explained - Cardiology - Dr Gill
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- Опубліковано 13 лип 2024
- Heart Murmurs Made Easy - Aortic Valve & Mitral Valve Pathologies - Dr Gill
In trying to explain cardiac murmurs I have appreciate I'm a very visual person, so having to train my brain to "see" the nature of heart murmur was a bit of a challenge - so it's going to be no surprise that I have slightly different ways of remembering heart murmurs and their waveforms depending on pathologies from the aortic or mitral valves.
So, if you want to see how I've managed to work Velociraptors, Simon & Garfunkle and The Terminator himself into my mental gymnastics to get aortic stenosis and mitral regurgitation into my head - this is the heart valves murmurs video for you!!
#DrGill #CardiacMurmurs #HeartMurmurs
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...
00:00 - Introduction
01:04 - Understanding Heart Murmurs
01:51 - Causes of Turbulent Flow and Heart Murmurs
02:42 - Heart Valves and Their Functions
03:53 - Auscultation Order and Mnemonics
04:44 - Murmur Locations and Laminar vs. Turbulent Flow
08:04 - Aortic Stenosis: Explanation
08:36 - Identifying Aortic Stenosis and Its Characteristics
09:50 - Aortic Stenosis Radiation and Additional Causes
14:24 - Aortic Regurgitation
18:12 - Mitral Stenosis: Characteristics and Clinical Examination
24:15 - Mitral Regurgitation: Diagnosis and Sounds
28:00 - Overview and Recap of Major Heart Murmurs
29:09 - Memory Aids for Diagnosing Heart Conditions
30:44 - Closing Thoughts
I'm not even a medical student and I am fascinated by how much I enjoy/learn by following these videos. Thank you Dr. James Gill. :-)
Thanks. That’s a big compliment given how difficult I found this one!
Dr Gill you would be a good teacher or speaker at symposium. I have followed quite a few for animals in Utrecht but also had some teachers who are very boring to listen to. which is not the case with you. you explain it well so that it is easy to understand!
Text book draw will be NEXT Friday at 2000 to allow those who want a chance :)
Thank you. That was very informative. I think explaining the theory in succinct way was really great and that went well. I wonder if it might have been possible to play an audio for these sounds ? Although your simulation was great I think hearing the real sound would also have been great!
That will be in the follow up
@@DrJamesGill Great , thank you !
I've got a heart murmur, main reason I watched this. You've explained it fair better than any doctor I've seen.
Thank you. That does mean a lot. I may not be the sharpest knife in the box, but I like to think I can explain things well 😊
Such a caring doctor and very smart
My brain was heavily taxed by this one.
Perfect timing for my cardiovascular weeks in my clinical assessment module. Heard my first murmur today and this helps me understand it!
Which murmur was it?
I’ve been interested in medicine and the human anatomy since I was a kid. That knowledge really helped me when I had to take care of my grandad. It’s made me want to pursue an actual career in the medical field. I would love a copy of that book 🙏🏻
Good luck with your journey 😊
@@DrJamesGill Thank you! 😊
This lecture is not only geared for medical students but I find it perfect for Emergency Medical Technician and paramedic students . This is also a good review for those active in the EMS profession .
How can i click on the lick burton more than 10000000.... Thanks Dog
What went well: you explained everything to a guy(me) who has little understanding of the topic at hand and now I’d be able to regurgitate the information to friends / family. What could be changed: perhaps giving Bob a rest and introducing his identical twin brother Rob for future videos
Nah, Rob’s really irritating, I don’t get on with him
@@DrJamesGill 😂
Currently studying for clinical skills, and this video has really helped me understand what sounds I'm listening for , and also the corresponding history and presentation that goes with it. Your videos are the best learning tools I've found so far Thanks Dr Gill😊
That’s really positive feedback. Thank you. Any other areas I could help withV
I find myself enjoying these videos more and more. The knowledge i gain from them, even tho i may not be a medical student, is wonderful! I'm a firm believer of the phrase "Knowledge is power", and you never know when info like this could be useful. Fantastic work as always, Doc!
Just started my advanced practice masters and you are fascinating! I literally have learned so much, easy to understand. I love how you use basic terminology to explain as it really helps me keep the info in! Thank you and keep them coming!!!
I've been struggling with heart murmurs for a while now and this video has absolutely helped me in my understanding. Silliness and all, I don't think I'll forget. I'll be sure to share with my clinical group. Thank you!
Thanks Robyn
This was one area I struggle with too
We’re going to be doing ECG as well as spirometry soon
Any topics that you’d like us to cover?
@@DrJamesGill Would love an ECG interpretation video! Possible topics to cover; opthalmoscopy/fundoscopy, abg/vbg interpretation, how to choose the correct fluid and maybe even Covid-19 vaccine myths debunked. But loving your content. Thank you!
Explained very simply, it seems like it's a video series for dummies. Great Job Dr. Gill.
I rally helps me to consolidate my knowledge doing this anyway 😊
Excellent video! Just what I needed to clear murmurs in my head in time for end of year OSCEs next week. Minor correction to offer, where I think you meant mitral stenosis but said mitral regurgitation during the summary segment. It’s the generosity and wisdom of experienced clinicians like you that make learning medicine such a joy. Thank you for all you do! Please include me in the raffle, as I could really do with that book!
We are really lucky to have content of such high quality on youtube for free. Thank you Doctor. Love from India
Glad it helped 😊
Thank you. These videos are great. The way you described the sounds makes it simple to understand and remember.
Absolutely brilliant! Thank you so much for these videos!
This was amazing! The different sounds helped me understand so much for my Physical Diagnosis class thank you!
Doctor Gill is a gift to humanity ❤️
Thank you, Dr Gill! You're a genius! Love your explanations, very very helpful!!!
Thank you thank you! You're the best at explaining this. The examples and noises, it really made it easy for me to remember. I had a very hard time understanding all that info in the book, so glad I came across your video!!! Shared with my classmates as well.
Great video as always, really enjoyed the depth you went into. As another said, would have been great to hear the sound itself - I'm sure there must be recordings, especially for the rarer conditions. Keep up the great work!
They will be in the next video 😊
Thanks Dr.Gill. These videos are awesome! Very helpful!
👍
Thanks for your video! It's amazing how well, and easy, you made this topic. Totally recomended
Thank you. That’s really positive 😊
Dr. Gill, I totally enjoyed your excellent video. It truly made me understand so many concepts of auscultation much more clearer. Thank you.
Blessings.
ASMR and medicine all in one video love it!
I'm an FNP student and I love the creative ways to remember the murmurs that helped me so much!
Great video! Thank you for making and sharing it ❤️
I enjoyed the fact that Dr Gill used various learning techniques here !
That's the video we're waiting for! Well done! Thank's doc! Would love to see one about lung's auscultation too!
I love you videos on heart issues. I have a heart condition called Tetralogy of Fallot (TOF) and it helps me understand alot of what's going on with me. It can get overwhelming when there's alot of information
That’s a major point we teach, but rarely see it. Hope you are doing well with it?
@@DrJamesGill yes I had my open heart surgery when i was 3 years old. I went to great ormond Street Hospital. I have regular check ups and I will have to have more surgery as I get older (I'm 34 now)
Excellent. Easy to follow. Very useful pointers to remember the various hear sounds and murmurs.
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Love the way you remember issues! As an Civil Engineer I could relate! I have a Cardiology Appointment soon and your video was very helpful!
Very helpful, thank you! I love the weird and wonderful things that people use to remember things. Your analogies are great, thanks again!
Well, certainly weird lol!
Such a helpful video! Thank you very very much!
@👍
Thank you Dr Gill for your honesty and your commitment of teaching something that's very very important I had to jump on this you to be reminded now yes I do have a very very bad heart murmur and I'm still here thank you Jesus I count my blessings every day but you have a blessed day Dr Gill
Excellent lecture,keep it Doc.
Learnt alot.
Great video, thank you!
Glad you liked it!
Thanks for the informational videos!
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Thank you so much for all of your videos!!! They are so helpful and informative. All of my clinical examination training was cancelled due to covid so these videos have made me a lot more confident when carrying out these examinations when at placement!
Covid has really hit students.
Is there anything else you feel we can record to help you?
Great video Dr James!
Thanks for another great video🙏
Yeah, all checks out. I agree with DR Gill on this
I have a Cardiology Mini on Monday so I greatly appreciated this video. Hopefully it helps!
Good luck!!
Thank u thank u thank u doctor!! Il be watching this video over and over....you are a hidden gem❤
You are very welcome!!
I'm not a medical student, but my brother is. He just recently heard a murmur in his own heart and now it's being under examination to clarify the diagnosis. Educating the patient is important and that's what this type of video does.
I hope he is ok
@@DrJamesGill thanks. Yeah, he has a problem with the valves... A calcification. I guess he heard an aortic murmur... A top-wooosh top-wooosh I guess 😅
Excellent presentation as always @Dr Gill
Thanks
I LOVE IT !!! I LOVE IT!!! I once struggled with some of the theory myself however I now can vision action potential blood flow and what ever cardiac complex question that arise I can somehow envision it now- especially your period of instruction of cardiac murmurs or some turbulence of some sort.
I love how you explained this in terms of physics. I understand that more than medical info.
"A Simon and Garfunkel murmur" was quite humorous. Certainly do understand the concept of the sound of silence with a murmur. Also, I never knew nor heard of Abraham Lincoln having a suspected murmur. Very excellent lecture and video!
My brain works on strange ways
Isn't the theory that Abraham Lincoln may have had Marfans, Ehlors-Danlos or another connective tissue problem? That could have bearing on a possible heart murmur; those days they didn't know quite what to call it.
I’ve heard the Marfans as a possible theory, which would also connect with a mitral regurgitation
Thanks for the video!
men this dude is awesome at doing what he does .... hes interesting and flawless
Dr. Gill Why have I only just found you now!! you're amazing thank you for the great content!!! ;)
You're very welcome!
Great one! I found its hard to get my heart around murmurs. This made it very clear for me as a visual learner, and I want to take a chance on the concised book hahaha
Well, you are certainly in the draw 😊
Fantastic!
Excellent video! Your vocal representations and memory aids really helped me to understand and remember the heart murmurs. The only improvement I could suggest is maybe adding a knowledge check/self test part at the end, e.g. sounding out a murmur and asking us what it is before giving us the answer.
Interesting. A knowledge test would be a really simple thing to add - definitely will be included from now on 😊 thanks
Excellent thank you so much for sharing your knowledge
Hope it was useful
Enjoyed watching it, thanks!
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thank you doc for the video!
Oh boy I can't wait to learn
Bless your heart man
Watch every video you’ve uploaded and all the Warwick ones that you are in, I’m not a medical person but find you fascinating as a person 👍🏻
Thank you!
Thank you ! This Video helped me learn Many Concepts i have struggled with
I struggled with it, hence why I teach it every year, as I have to “get it”
what i loved most about the video was how informative each of the 4 murmurs was and how we can distinguish them with the sounds you demonstrated. My improvement suggestion is maybe inserting clips of real life sounds of each of these mumurs because as I was watching the video i found myself kept going to check for real life stethescope sounds from other reputable channels on UA-cam. But overall you are really doing the Lord's work! We love you
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This video is impressive! I learned so much from your video. Thank you!
Glad it was helpful! Any other areas we could help with?
Yay! Nice video
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Good one
I like the sounds that you are making to explain murmurs.
🤣🤣🤣 they always stuck in my head that way!
Liking the new hair! Very streamlined and aerodynamic. Like a Velociraptor.
Thank you
I also like computers and your videos are very informative and good to listen to
Glad to hear that
I love this
What I liked - How you likened the sounds of normal blood flow to that of a car passing by. I find analogies like that really useful!
What could be improved - Inserting the sounds of actual heart murmurs would also be beneficial.
Thanks for the video, always nice to be able to brush up on some skills and I will be sure to integrate some of the knowledge I have gained into my practice!
Keep up the good work! 👍
Thanks. Yes I’m going to apply the actual heart sounds in the next cardiology video
Excellent lecture and learning it was fun.
Thanks 😊
Always good to hear a bedtime story about murmurs :)
Great.....hats off for your best and deep explanation sir.... wonderful way of explanation.
Thanks a ton
This vid was amazing 👍.
Thanks 😊
Ahhhh my little cardiology researcher brain is geeking out!! This is definitely one of my favourite specialties, although I agree, it's difficult.
Ok, what went well: You made many complicated facts seem easy, and maybe this is just me, but I learn SO WELL with mnemonics so thank you for including those! Here's one for you (slightly naughty):
Side Effects of Amiodarone (I work for a rhythm guy :)):
Bradycardia
Interstitial lung disease
Thyroid Dysfunction
Corneal/cutaneous
Hepatic dysfunction
What could go better: I honestly had trouble coming up with this one, but I'd say that it would be useful to actually include recordings of the different murmurs compared to a normal S1, S2. Although I have to admit, your sound effects were charming.
Keep educating, doc!
Thanks. That’s great feedback. I’ll be putting both the visual diagrams and the sound recordings in the next cardiology video.
Good video
Greeting from an Italian med student doc, keep up with the great work!
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Nice video❤️
Very informative and enjoyable, even for the laymen . As a visual learner also myself, in terms of suggestions that you asked for; perhaps simple graphics( like a chart) at the end, summarising the key points, might also be helpful . This could then be screen shot as a further aide memoir.
That’s a good idea. The end point - esp as I could actually create a downloadable pdf 😊
I’ve struggled with murmurs this year due to reduced patient contact but this should help going forward!
I REALLY feel for the last two years of students about this
ANP in training here...This is brilliant, thanks👍
Glad it was helpful!
I just hope by any chance get the book so I can learn some more hehe.
Also hearing your voice is soothing
We’ll be doing the draw later today 😊
I died of laughter when the screen turned blue 😆
I was diagnosed with one it is unknown if I still have them. My heart is surely different my doctor said for this it goes beating quick than stops goes back to beating and repeats this process and sounds like some thump and than a low pitch siren from how he said and it had a whooshing noise going on so he figured the heart beat was different, also thanks for helping me learn more about my conditions and disorders you help me learn the meaning behind them and if they are needed for special caring or not. Like the vision tests those help cause I get black confused with purple and blue, or for something what happens a lot is numbers swap places so the higher number is lower and lower is higher, and book pages seem to be crooked. So, thank you, Dr. James Gill.
Need to learn more about this and what to do to heal it.
Excelent intro 👏👏
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Hi I am a big fan of ur doctoring!
I was taught by my clinical instructor in paramedic class that auscultation in cardiac patients is more important than attaching the 12 lead ECG monitor .
You can argue both are equally important, but cardiac auscultation will take a few seconds, so one person can listen, as the others are getting the pads on. You NEED to know if a new onset chest pain is a STEMI
Thanks alot
Most welcome
Nice 👍
Murmurs are so confusing 😫 trying to get to grips with them before starting back at med school in September - thank you for clearing things up!!!
Hope it helped 😊
Hi, I absolutely love your videos, I am so glad I came across them, they are legit saving my life. Could you please check one thing, at 26:45 you mention that Valsalva will increase intra thoracic pressure, and increase cardiac output, I find the opposite to be true. Valsalva increases the pressure yes and hence, VALSALVA DECREASES CARDIAC OUTPUT and hence decreases the sound of most murmurs (including MS) and only increases MVP and HCM sounds. Source: NCBI, physiology cardiovascular murmurs, scroll down to Maneuvers >Valsalva. Thank you so much for your work, you are an absolute godsend.
Yes, but caught an error there. Thank you so much. I’ll pin this in the comments. I WIsh we could put text edits on existing videos
I will take any extra ways of remembering cardio facts Dr Gill! Here's hoping I'll be lucky enough to nab the giveaway for my future in med school.
I really think you excel with the use of Bob, diagrams and the models which really connects what you say. I think most people are visual learners and benefit from stories rather than facts.
What I think you could do better is have some timestamps in your description as I would love to come back to this video and quickly navigate to the spot of interest. I know it's ridiculous to ask this, but as an Anki disciple it would be amazing if you had some cards that corresponded to the video such as the acronym SAD for remembering the causes of aortic stenosis. Thanks a ton!
Maybe Anki cards could be a future project? 🤔
Greetings, Dr. Gill. Third year Indian med student here. Glad to see you again, sir. Saw you first in the Elsevier lecture " Succeeding in medicine in your first year and beyond, what they don't tell you in lectures.. ". It really helped me a lot. And now, this is going to help me in my clinics. Thank you for posting this awesome content. Always had a hard time with murmurs and their pathophysiology. Thank you once again, sir.
Thank Stephen. That was a while ago now, but there is so much that seems “hidden” about going to and surviving med school
Hope you Are doing well!
so at last i found a video that can help me understand these ever confusing murmurs....that was helpful...thanks...
ooh btw...is the giveaway still open ?🤣
Sorry, just missed it!!
My dog had a heart murmur. Ended up causing the massive series of strokes that killed him. A damn shame
I’m so sorry to hear that. Perhaps that can be used as a point to a few of the people who have mentioned things in the comments about personal concerns
ALWAYS get a murmur or the sensation of palpitations checked out