Physiologically Split S2 Lesson

patient thorax when auscultating by stethoscope

patient position during auscultation
The patient was supine during auscultation.

Description

Closure of the aortic valve followed by the closing of the pulmonic valve generates the second heart sounds (S2). Careful observation of the intensity and splitting of the S2 can indicate the presence of several cardiac abnormalities.

In this recording, we present normal physiological S2 splitting. The splitting varies between zero and eighty milliseconds over the respiratory cycle. The S2 aortic component (S2A) precedes the S2 pulmonic component (S2P).

Phonocardiogram

Anatomy

Physiologically Split S2


Authors and Sources

Authors and Reviewers

Sources

  • Heart and Lung Sounds Reference Library Diane S. Wrigley
    Publisher: PESI
  • Impact Patient Care: Key Physical Assessment Strategies and the Underlying Pathophysiology
    Diane S Wrigley & Rosale Lobo
  • Practical Clinical Skills: Lung Sounds
  • PESI Faculty - Diane S Wrigley
  • Case Profiles in Respiratory Care 3rd Ed, 2019
    William A.French
    Published by Delmar Cengage
  • Essential Lung Sounds by William A. French
    Published by Cengage Learning, 2011
  • Understanding Lung Sounds Steven Lehrer, MD
  • Clinical Heart Disease W Proctor Harvey, MD
    Clinical Heart Disease
    Laennec Publishing; 1st edition (January 1, 2009)
  • Heart and Lung Sounds Reference Guide
    PracticalClinicalSkills.com




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