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When do the second heart sounds occur in relation to an ECG?

User Young Bob
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Final answer:

The second heart sounds (S2), associated with the closure of semilunar valves during ventricular diastole, occur right after the T wave on an ECG.

Step-by-step explanation:

The second heart sounds, or S2, occur during the ventricular diastole phase of the cardiac cycle, right after the T wave in an ECG, which represents ventricular repolarization. These sounds are associated with the closure of the semilunar valves as blood pressure within the ventricles falls below the pressure in the major arteries, causing the blood to attempt to flow back into the ventricles and shut the valves. This creates the 'dub' sound that is indicative of S2 being produced.

The second heart sounds (S2) occur following the T wave of an ECG during the ventricular diastole phase, marking the closure of the semilunar valves.

The cardiac cycle consists of stages of depolarization and repolarization corresponding to the mechanical actions of the heart's chambers. The ECG trace depicts this cycle as electrical impulses that regulate these actions. The P wave is indicative of atrial depolarization, the QRS complex represents ventricular depolarization, and the T wave corresponds to ventricular repolarization. During ventricular systole, when the ventricles are contracting to expel blood, the ventricular pressure exceeds that of the atria and major arteries, leading to the opening of the semilunar valves.

Subsequently, as the ventricles relax (ventricular diastole), pressure falls, blood tries to flow back in and the semilunar valves close, thus generating the S2 sound. This event is closely followed by the T wave, aligning the S2 sound occurrence after this wave in an ECG. This is key in understanding how the audible heart sounds correlate with the visible ECG tracing, which provides insight into heart health and can aid in the diagnosis of various cardiac conditions.

User Phaedrus
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