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Internal Medicine-Cardiovascular Medicine-Internal Medicine

S2

Closure of aortic and pulmonic valves just after systole.

Persistently split S2 (widened S2) is due to pulmonic stenosis, PE, or RBBB (all cause delayed function of right ventricle.)

A young girl with a split S2 and with RBBB on ECG is Pulmonic Stenosis. Not ASDĀ or VSD.

Normally heard as split during inspiration. The split disappears on expiration.