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Opening Snap and Second Heart Sound - case

An opening snap occurring early in diastole along with a single second heart sound can mimic a split second heart sound. An opening snap is caused by thickened valve leaflets. When they open it produces a snapping sound. The more severe the thickening the earlier in diastole the opening snap occurs. In this example you are hearing an opening snap which occurs 75 milliseconds after the start of the second heart sound.

Listen

patient torso with stethoscope chestpiece
patient position during auscultation
The patient's position should be supine.

static waveform for 27

Visualize

static waveform for 27


Observe

An opening snap is caused by thickened valve leaflets. When they open it produces a snapping sound. The more severe the thickening the earlier in diastole the opening snap occurs. In this example you are hearing an opening snap which occurs 75 milliseconds after the start of the second heart sound.


t: Opening Snap and Second Heart Sound case


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