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Quick Scroll Cardiology - Wide fixed Splitting Of The S2 12.21.07 (11 months ago) #1

wide fixed splitting of the second heart sound is observed in case of


1_ASD


2_SEVERE RIGHT FAILURE

3_BOTH

4_severe pulmonary stenosis

5_1,2,4
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Quick Scroll 12.22.07 (11 months ago) #2

according to me ans is both ASD AND RIGHT SIDED FAILURE.

Wide fixed split we can see in Asd and lutembacher syndrome (ASD +MS and causes right sided heart failure)
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Quick Scroll 12.22.07 (11 months ago) #3

no its charactersistic of ASD i dnt think u get in ny other condition.. correct me if im wrong
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Quick Scroll 12.22.07 (11 months ago) #4

ya it is characteristic of ASD I agree but we can also see it in lutembacher syndrome and the reason is from

The second heart sound (S2) may be widely split for 2 reasons. Increased right heart flow of ASD can result in late closure of the pulmonary component of the S2, and decreased left ventricular and aortic flow, secondary to mitral stenosis and ASD, can cause early closure of the aortic component of S2.
refer Emedicine
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Quick Scroll 12.22.07 (11 months ago) #5

kk... thanks..
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