3)The influence of respiration in inspiration: the pressure within the thorax, venous return to rva. so empty time to be delayed, PV closure more later ERB.S POINT Inspiration Expiration
3) The influence of respiration in inspiration: the pressure within the thorax, venous return to RV, so empty time to be delayed, PV closure more later
4)Paradoxical splitting of s, the abnormal is within the left heart, (AS) the emptying time of lv is delayed, the order of valve closure is reversed. In inspiration, the two components then more closer together or may be single ERBIS POINT L Inspiration Expiration
4) Paradoxical splitting of S2 – the abnormal is within the left heart,(AS), the emptying time of LV is delayed, the order of valve closure is reversed. In inspiration, the two components then more closer together or may be single
5)Fixed splitting of s2 in AsD,s2 is widely split over the Pv area with little or no change in the degree of splitting in either phase of respiration ERBIS POINT iI h aspirate。n Expiration
5)Fixed splitting of S2 : – in ASD, S2 is widely split over the PV area with little or no change in the degree of splitting in either phase of respiration
5. Extra sounds In diastolic period 1) Gallop Three or four sounds are spaced to audibly resemble the center of a horse the extra sounds occurs after
5. Extra sounds In diastolic period • 1) Gallop: Three or four sounds are spaced to audibly resemble the center of a horse, the extra sounds occurs after S2
Protodiastolic gallop rhythm S3 gallop, ventricular gallop rhythm s2+ pathologic S IIi S2
• Protodiastolic gallop rhythm • S3 gallop, ventricular gallop rhythm. • S1 + S2 + pathologic S3