{"id":2883,"date":"2020-05-25T23:02:58","date_gmt":"2020-05-26T06:02:58","guid":{"rendered":"https:\/\/up.physicaldiagnosispdx.com\/up\/?page_id=2883"},"modified":"2021-12-21T12:21:16","modified_gmt":"2021-12-21T20:21:16","slug":"physiologically-split-s2","status":"publish","type":"page","link":"https:\/\/up.physicaldiagnosispdx.com\/up\/cardiology-multimedia-new\/physiologically-split-s2\/","title":{"rendered":"Physiologically Split S2"},"content":{"rendered":"
[vc_row css=”.vc_custom_1592007926484{background-color: #fff9f9 !important;}”][vc_column][vc_column_text]Normally the higher pressure left -sided valves close first (mitral before tricuspid, aortic before pulmonic). This discordance is exaggerated by inspiration, allowing the human ear to perceive two distinct sounds. During inspiration, intrathoracic pressure drops and augments RV filling. As a result, more time is required for the RV to pump the higher volume of blood into the pulmonary artery, thus delaying pulmonic valve closure.<\/span>
\n
\"\"<\/a>
 <\/figcaption><\/figure>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n

Patient 1:<\/h1>\n

This young patient was admitted to the hospital with sepsis related to intravenous drug use. She was noted to have a physiologically split S2. Notice how the second heart splits into two distinct sounds when she breaths in.<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=”.vc_custom_1592007945997{background-color: #dcd9dd !important;}”][vc_column width=”1\/2″][vc_column_text]\n

Physiologically Split S2<\/span><\/strong>
\n