Question

Paradoxic splitting (split S2 with expiration) occurs with

Answer 1

Paradoxic splitting, or split S2 with expiration, occurs in specific heart conditions, particularly those affecting the lungs.

Step-by-step explanation:

Paradoxic splitting, also known as split S2 with expiration, occurs in certain heart conditions, particularly those affecting the lungs.

It is a phenomenon where the two components of the second heart sound (S2) can be heard separately, with the second sound (A2) occurring before the first sound (P2) during expiration. This is opposite to the normal S2 splitting where P2 occurs before A2 during inspiration.

Answer 2

Paradoxic splitting, or paradoxical split S2, occurs when the sounds of the heart's second beat become split during expiration rather than inspiration. This is typically seen in conditions that delay the closure of the pulmonary valve.

Step-by-step explanation:

Paradoxic splitting, also known as paradoxical split S2, occurs when the sounds of the heart's second beat, or S2, become split during expiration rather than during inspiration.

This phenomenon is typically seen in conditions that delay the closure of the pulmonary valve, such as in patients with pulmonary hypertension or a delay in right ventricular emptying.

Paradoxic splitting of S2 can be heard during auscultation with a stethoscope and is characterized by a delayed closure of the pulmonic valve causing a split sound.