Opening Snap and S2 Lesson
The patient was supine during auscultation.
Description
In this recording, listen for an opening snap that begins about 75 milliseconds after the commencement of S2. Such opening snaps in early in diastole and a single S2 can mimic a split second heart sound.
The source of an opening snap is thickened valve leaflets which produce a snapping sound when opening. The more severe the thickening the earlier in diastole the opening snap occurs.
Phonocardiogram
Anatomy
Opening Snap and S2
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.
Authors and Sources
Authors and Reviewers
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Heart sounds by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient.
- Lung sounds by Diane Wrigley, PA
- Respiratory cases: William French
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David Lieberman, Audio Engineering
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Heart sounds mentorship by >W. Proctor Harvey, MD
- Special thanks for the medical mentorship of Dr. Raymond Murphy
- Reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.
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Last Update: 11/10/2021
Sources
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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
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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
