Second Heart Sound - Physiologically Split #2 Auscultation Lesson with Recordings

Virtual Auscultation

patient torso with stethoscope chestpiece

patient position during auscultation
The patient's position is supine.

Lesson

The second heart sound (S2) is created by the closing of the aortic valve followed by the closing of the pulmonic valve. Careful analysis of the splitting and intensity of the second heart sound can indicate the presence of many cardiac abnormalities. This example shows normal physiological splitting of the second heart sound. Splitting varies between zero and eighty milliseconds depending on the phase of the respiratory cycle. The aortic component of S2 (S2A) precedes the pulmonic component (S2P).
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Waveform




Heart Sounds Video



Authors and Sources

Authors and Reviewers

Sources

? v:3 | onAr:0 | onPs:2 | tLb:3 | tLbJs:0
isPageNeedsInvoke:False | isTc: False | cc:
isHome:False | uStat: False | db:0 | pu:False | jsNext:False | pv:1 | refreshTime: 1/1/0001 12:00:00 AM || now: 3/28/2024 10:02:26 PM



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