Describe Normal Splitting

In Normal Splitting, what leads to delayed closure of the pulmonic valve?

Describe Wide Splitting

Describe Fixed Splitting

Describe Paradoxical Splitting

What type of splitting does the following describe?

Seen in conditions that delay RV emptying

What type of splitting does the following describe?

Seen in pulmonic stenosis

What type of splitting does the following describe?

Seen in right bundle branch block

What type of splitting does the following describe?

Causes delayed pulmonic sound (especially on inspiration).

What type of splitting does the following describe?

An exaggeration of normal
splitting.

What type of splitting does the following describe?

Heard in ASD

What type of splitting does the following describe?

Regardless of breath, pulmonic closure is greatly delayed.

What type of splitting does the following describe?

ASD ---> left-to-right shunt ---> increased RA and RV volumes ---> increased flow through pulmonic valve such that, regardless of breath, pulmonic closure is greatly delayed

What type of splitting does the following describe?

Heard in conditions that delay aortic valve
closure

What type of splitting does the following describe?

Heard in aortic stenosis

What type of splitting does the following describe?

Heard in left bundle branch block

What type of splitting does the following describe?

Normal order of valve closure is reversed so that P2 sound occurs before delayed A2 sound.

What type of splitting does the following describe?

On inspiration, P2 closes later and moves closer to A2, thereby “paradoxically” eliminating the split (usually heard in expiration).