When these sounds are distinguishable from each other a split S2 can be heard. The patterns of splitting of the S2 heart sound include physiologic splitting, paradoxical splitting, widened ...

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Therefore, the A2 sound is the main component of S2. CLINICAL PEARL: A split S2 is best heard at the pulmonic valve listening post, as P2 is much softer than A2. Like the S1 heart sound ...