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What is an Ejection Click

Ejection click is a sharp and high-pitched clicking sound heard immediately alter the first heart
This sound is due due to sudden opening of the aortic or pulmonary valve (semilunar valves), and are best audible  in aortic and pulmonary area respectively.
Its presence indicates that the stenosis is at the valvular' level and the stenosis (AS or PS) is of milder degree.
Significance of ejection click
  • Presence of ejection click Implies a mobile valve. 
  • Calcification causes an absent EC
  • Valvular ejection click  indicates the site of the lesion, not the severity of the lesion
  • Its presence indicates that the stenosis is at the valvular' level and the stenosis (AS or PS) is of milder degree.
Characteristics of ejection clicks
  • High pitched sounds
  • 0.05 sec after S1
  • Valvular clicks are later and more audible
Types of click