Heart Sounds Mnemonic (APE To Man – All People Enjoy Time Magazine)

nursing mnemonic podcast

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APE To Man

One of my favorite nursing mnemonics, and one I’ve remembered ever since learning it is the mnemonic for remembering where to listen to the heart valves.

A Aortic
P Pulmonic
E Erbs Point
T Tricuspid
M Mitral



heart valve nursing mnemonic


Another variation of this mnemonic is:

All People Enjoy Time Magazine

The idea is the same . . . A.P.E.T.M . . . once you nail this you will be a pro at heart assessment.

Personally, I prefer APE To Man.  It’s a little more playful and easier for me to remember.

nursing mnemonic heart sounds

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Podcast Transcription

Okay, so, these next few mnemonics are to help you remember the heart sounds. So, this can be, this is a little bit of a longer one guys. So, the mnemonics, there’s a couple of mnemonics in the heart sounds. So, they’re Aortic, Pulmonic, Erb’s Point, Tricuspid and Mitral. So, some of the mnemonics are APE To Man. APE, then T – To, Man. APE To Man. A couple of others, All People Enjoy Time Magazine. Or, Apple Pie Especially Taste Mmm. So, APETM. All People Enjoy Time Magazine. Apple Pie Especially Taste Mmm. And, APE To Man. APE T for the To, M – Man. So, again, the sounds are Aortic and Pulmonic, Erb’s Point, Tricuspid and Mitral. So, just so you know what each of these are, so, aortic and pulmonic. So, if you think about it where they are located, 2 words and 2 spaces. So, they use coincide because they are both in the second intercostal space. A is immediately to the right of the sternum and P is immediately to the left of the sternum. And then, we got Erb’s Point, Erb has 3 letters, so you can find it on the third intercostal space just to the left of the sternum. And it’s also the third one you auscultate. So, the aortic, pulmonic and the Erb’s point. And then, Tricuspid is at the 5th intercostal space just to the left of the sternum. So, tri, equals 3. Okay, so, this is a little confusing, but bear with me here. So, tricuspid, tri equals 3 and this is the 4th place to auscultate in the 5th intercostal space. So, 3, 4, 5. And then, the last one, mitral, mit sounds similar to to mid. So, the mid clavicular area and straight down to the nipple, straight down to below the nipple line. So, you get to that middle midclavicular, middle of the clavicle, draw a line straight below, right below where the nipple line is, and where the nipple should be, and that where technically actually is. ‘Cause some people’s nipple line can be way lower than this point needs to be. So, keep that in mind. So, those are all your heart sounds. So, Aortic, Pulmonic, Erb’s point, Tricuspid, Mitral. APE To Man. All People Enjoy Time Magazine. Or, Apple Pie Especially Taste Mmm.


And there’s another way to kinda help you remember ‘cause if you have an S3 and S4, those can indicate problems. And to remember what problems they can indicate, so S3 has 3 syllables, so, heart faiure. And S4 has 4 syllables, hypertension, hypertension. So, that’s another way to remember what these additional heart sounds can indicate. So, S3 is 3 syllables, heart failure. And S4 is 4 syllables, hypertension.


This has been another episode of the nursing mnemonics podcast by NRSNG.com with your host, Katie Kleber, RN, CCRN. To grab all of our cheat sheets, head over to NRSNG.com/freebies. That’s NRSNG.com/freebies. Thank you so much for being here today. We love you guys. We thank you so much. We want to see you guys succeed. Listen, we’re all in this together. Now, go out and be your best self today. Happy Nursing.

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