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Second Heart Sound - Physiologically Split #2

Virtual Auscultation

patient torso with stethoscope chestpiece
patient position during auscultation

The patient's position should be 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).

Waveform





Heart Sounds Video



Authors and Reviewers

Authored by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient. Medically reviewed by Dr. Barbara Erickson, PhD, RN, CCRN. Last Update: 11/28/2021


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