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:
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[@medzcool]

Auscultate Sound Library
More heart sounds and murmurs: medzcool.com/auscultate

[@tracybalboa7834]

how can i know if the sound is A2 or P2?

[@shadowhowls]

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!

[@rodneytill741]

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]

Right! So does the paradoxical split just sound the same?

[@yaren8422]

You are so right

[@KitanKate]

finally found my heart sound

[@playlistaccount]

So, you’re dying?

[@dinmohammed5858]

​@@playlistaccountnice one😅

[@monikanahar3599]

Thank you for keeping the audio instead of the voiceover

[@marleyp7529]

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

[@samj3733]

Pure gold! Thanks Medzcool.

[@HudaHuda-ri3fr]

This is more than perfect explanation 💙thank you very much

[@1Ezk]

Fantastic audio and video explanation, thank you so much!

[@nicolerenteria8162]

Love this video, thank you

[@asthapandey6215]

Loved ur vedios.... dhanyavad🙏

[@majidshamm2600]

thank you! I always had a problem with it and now I get it

[@priyagurung6911]

Thank you so so much. You guys are really so good. Thank you for all the videos.

[@asad6877]

increase or decrease in intra-thoracic pressure during deep inspiration

[@Silvener199]

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!

[@kuhataparunks]

Very clear explanation thank you so much

[@user-mi3su7jl7w]

Thank you!

[@dcheryasov]

This is my frantic heartbeat

[@anandkrishnaanu7972]

Best heard in erbs points, Lt 3rd ics

[@samanehkh2500]

Very nice

[@ekhlasmohammed3224]

Very good job thanks alot sir.

[@umi3596]

Thanks a lot 🙏

[@daviclemons6910]

I just decided to record my heart sounds and this is what I heard.. 😭

[@duyenho9241]

T2 tách đôi cố định

[@nehapatel6006]

Thank you thank you thank you

[@haqzahoorul]

Superb explanation 👏👏👏

[@sagarboss2004]

Thanks

[@altamaashkhan728]

Awesome 👍 thanks

[@thomasabraham5276]

Very good.

[@francescotorlone8541]

How could I differentiate s3 from s2 split?

[@IneshKhanal]

S3 is low pitched

[@maazkhan664]

Doesn't it sound like s1 s2 and additional s3 sound

[@Zain.Basi1]

Great video

[@sarahbeethoven6390]

It’s difficult to differentiate between split2 & 3rd sound

[@chaosawaits]

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]

S2 is more like titick
S3 is more like tick - tick
Thus
S2 is very rapid
S3 is just a little rapid

[@ayshasarmad1240]

@@kuhataparunks your explanation helped me a lot, can you differentiate it with s 4

[@straypaper]

@@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.

[@muhammadjunaidali769]

awesome

[@baobism]

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]

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]

​@@medullaoblongata1616great

[@LorianandLothric]

@@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]

@@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

[@ArunKumar-rt9mw]

Will murmur is seen abnormal S2 split or not seen or both may seen

[@mohammedalkalby4987]

Helpfull

[@mhdanasnabulsi1033]

text in the tube not clear.. redownloaded pz.

[@tracybalboa7834]

how can i know if the sound is A2 or P2?

[@ahmadiii99]

Alhamdulellah
good work

[@AestheticMEDICO]

but why its always fixed?

[@ananthakrishnanr4046]

Poli video

[@BoredT-Rex]

i dont hear it

[@elocinmi]

Is having this as an 16 year old teen bad?

[@izahdefy6176]

What does it mean by "deep inspiration"?

[@victoriamarie740]

Taking in a deep breath and filling the lungs with more air than you would normally with a regular inspiration or regular breathing.

[@MeghaSharma-jw6qb]

1:30

[@lehau7294]

T2 tách đôi

[@ayshasarmad1240]

can we hear s1 here

[@jamesischool]

yea it's the first sound

[@user-me5ot1pu8p]

0.5 x helpful

[@etharabdelnasser4237]

Great

[@nirmalnazeem]

👌👌💯

[@mohammedalkalby4987]

Helpfull