Heart sounds Flashcards
1
Q
S1 - what does it represent
A
Closing of MV + TV
M1, loudest everywhere as LH Pb greater + T1
2
Q
Split S1 - how to auscultate
A
Heard @ T
Inspiration delays
3
Q
Split S1 - who
A
~50% popn
RBBB (current pushes delay LH –> RH further)
4
Q
Split S1 - define
A
When M1 is before T1
5
Q
S1 - factors affecting character
A
4 PRaMS CaNT THInK
- PR interval: shorter INC S1
- MS: increases if mild-mod, dec if sev-crit
- Contraction (puff): Inc HR = Inc Vent Pb = Inc S1
- Thickness of chest wall
6
Q
S2 - define
A
Closing of AV + PV
A2 louder + P2