Sign in or Join to use this module.

Fixed Splitting Second Heart Sound Lesson

Virtual Auscultation

patient torso with stethoscope chestpiece

patient position during auscultation
The patient's position is supine.


When the separation of the two components of the second heart sound remains unchanged through inspiration, the split is called a fixed split.

The inability of the ventricles to change their volume with respiration causes the splitting. Fixed splitting of the second heart sound (along with murmurs) indicates the presence of heart disease or a heart defect.


Heart Sounds Video

Authors and Sources

Authors and Reviewers


An error has occurred. This application may no longer respond until reloaded. Reload 🗙