Fixed Split S2 - Heart Sounds - MEDZCOOL
This is the sound of a split S2 heart sound. It can be normal during inspiration or also heart in people with pulmonic stenosis, right bundle branch blocks, heart failure, pulmonary hypertension, etc.
Learn more with our #Auscultate Heart Sound App:
www.medzcool.com/auscultate
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Пікірлер: 68
Auscultate Sound Library More heart sounds and murmurs: medzcool.com/auscultate
@tracybalboa7834
Жыл бұрын
how can i know if the sound is A2 or P2?
Pure gold! Thanks Medzcool.
I'm a vet student and halfway through a cardiology course, and had a bit of a startle when I heard this on myself thinking it was an s3 gallop lmao These videos are brilliant, and the visuals are exactly what I need! Thank you so much for making these!
Fantastic audio and video explanation, thank you so much!
This is more than perfect explanation 💙thank you very much
Love this video, thank you
Thank you so so much. You guys are really so good. Thank you for all the videos.
I've always had heart problems as far as my heart murmur but my doctor finally told me what was making my heart sound abnormal. Split s2
Very clear explanation thank you so much
thank you! I always had a problem with it and now I get it
I like the audio of the split S2 for a fixed split but it would be nice to hear the normal, wide, and paradoxical splits as well rather than just a description of them.
@katielind4957
6 жыл бұрын
Right! So does the paradoxical split just sound the same?
@yaren8422
3 жыл бұрын
You are so right
Thank you for keeping the audio instead of the voiceover
Loved ur vedios.... dhanyavad🙏
finally found my heart sound
@playlistaccount
2 жыл бұрын
So, you’re dying?
@dinmohammed5858
11 ай бұрын
@@playlistaccountnice one😅
This is my frantic heartbeat
Thank you!
Superb explanation 👏👏👏
Very good job thanks alot sir.
Thank you thank you thank you
Awesome 👍 thanks
Thanks a lot 🙏
Great video
Thanks
Very nice
Very good.
Best heard in erbs points, Lt 3rd ics
text in the tube not clear.. redownloaded pz.
awesome
increase or decrease in intra-thoracic pressure during deep inspiration
@Silvener199
3 жыл бұрын
Decrease in the sense that the intrathoracic pressure becomes more negative. Inspiration -> diaphragm contraction -> the thoracic cavity expands -> thoracic volume increases, thus pressure decreases -> lungs, right atrium and his vessels expand -> more blood in right atrium -> more time for the right ventricule to expel all of the blood -> split S2. Hope this helps!
Helpfull
Hi thanks for this great vid! Is there any way of clinically differentiating between fixed widely split S2 (like in ASD) and a paradoxical split S2 (PDA)? Is there any difference in their sounds?
@medullaoblongata1616
Жыл бұрын
Hi, I know it's been about 6 months but I'm gonna try to answer the question anyway cause I wanna test out what I've learnt :D So, one way that I know to differentiate these two is based on their quality during both inspiration and expiration. Fixed splitting will produce a split in S2 regardless of inspiration or expiration. It doesn't matter what the patient is doing. That's why it's called "fixed". In the case of paradoxical splitting, there will be a split in S2 during expiration but not inspiration. That's why it's "paradoxical" since normally, you'll only hear the split during inspiration but not expiration.
@kimtae6570
8 ай бұрын
@@medullaoblongata1616great
@LorianandLothric
8 ай бұрын
@@medullaoblongata1616 Wait, you said that the split happens during expiration, but then later said that you can only hear the split during inspiration, not expiration??
@Jimbo292
6 ай бұрын
@@LorianandLothric Fixed split doesnt change with respiration. Normal physiologic split, P2 comes after A2 on inspiration. Paradoxical split, A2 comes after P2 on expiration and inspiration they are closer together, usually this is due to aortic stenosis which causes the aortic valve to close later than usual
Will murmur is seen abnormal S2 split or not seen or both may seen
how can i know if the sound is A2 or P2?
Doesn't it sound like s1 s2 and additional s3 sound
What does it mean by "deep inspiration"?
@victoriamarie740
5 жыл бұрын
Taking in a deep breath and filling the lungs with more air than you would normally with a regular inspiration or regular breathing.
Alhamdulellah good work
Poli video
How could I differentiate s3 from s2 split?
@IneshKhanal
3 жыл бұрын
S3 is low pitched
T2 tách đôi cố định
It’s difficult to differentiate between split2 & 3rd sound
@chaosawaits
6 жыл бұрын
S3 has more of a groove. You can almost dance along to it. S3 has soul, a little funk. A split S2 on the other hand, is more techno.
@kuhataparunks
5 жыл бұрын
S2 is more like titick S3 is more like tick - tick Thus S2 is very rapid S3 is just a little rapid
@ayshasarmad1240
4 жыл бұрын
@@kuhataparunks your explanation helped me a lot, can you differentiate it with s 4
@straypaper
4 жыл бұрын
@@ayshasarmad1240 S4 happens shortly before S1 and waaaaaay after S3, so you won't mix it up with S3 or split. If this split is lub-dudub, then S4 is lulub-dub.
Is having this as an 16 year old teen bad?
I just decided to record my heart sounds and this is what I heard.. 😭
but why its always fixed?
i dont hear it
👌👌💯
can we hear s1 here
@jamesischool
3 жыл бұрын
yea it's the first sound
T2 tách đôi
0.5 x helpful
Great
1:30
Helpfull