THE MERCK MANUAL: The Merck Manual of Diagnosis and Therapymultimedia

Type

Audio

Section

Cardiovascular Disorders

Previous

3 of 26 Audio in this section

Next

Split 2nd Heart Sound

Topics Containing This Multimedia

  • Cardiovascular Examination
  • Sound is that of S1-S2 at rest (“out”) and S1-A2-P2 with inspiration (“in”). S2 splits with inspiration because intrathoracic pressure decreases, drawing more blood into the right ventricle and postponing pulmonic valve closure.

    Recording provided by Jules Constant, MD.

    Audio
    Photographs
    Videos