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Second Heart Sound - Fixed Splitting | #120

This example shows fixed splitting of the second heart sound. The separation of the two components of the second heart sound remains unchanged through inspiration and expiration at sixty milliseconds in this example. Fixed splitting of the second heart sound (along with murmurs) indicates the presence of an atrial septal defect, a congenital heart defect in which the intra-atrial septum is incomplete resulting in a hole between the left and right atria. The murmurs have been eliminated in this lesson so that you can concentrate on the fixed splitting of the second heart sound.

Auscultation Sounds

auscultation sound from lesson
waveform

Patient Recording

patient heart or lung sound
Second Heart Sound - Fixed Splitting

Patient Recording - Half Speed

patient heart or lung sound
Second Heart Sound - Fixed Splitting

Position

Patient position
The patient's position should be supine.

Listening Tips

S2:Fixed Splitting

Waveform (Phonocardiogram)



Observe Cardiac Animation

Authors and Sources

Authors and Reviewers


Sources

Return to Reference Guide Index Page
Second Heart Sound - Fixed Splitting | #120
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