9. Reversed Paradoxical Split of the Second Sound - Heart Sounds Collection #CCU_SOUND Paradoxical Split S2 A paradoxical split S2 heart sound occurs when the splitting is heard during expiration and disappears during inspiration — opposite of the physiologic split S2. A paradoxical split S2 occurs in any setting that delays the closure of the aortic valve including severe aortic stenosis and hypertrophic obstructive cardiomyopathy, or in the presence of a left bundle branch block. CLINICAL PEAR

172K views · 6.1K reactions | A young man is struck by a violent, mysterious disease that leaves doctors baffled and causes unimaginable pain. After months of excruciating suffering, he is finally diagnosed with fatal thallium poisoning, leading investigators to uncover a terrifying truth: the poisoning was a slow, calculated act of murder perpetrated by someone close to him. From: Diagnosis: Unknown S2 Ep8 | Real Responders | Facebook

258K views · 5.8K reactions | Hyde was shaken by mysterious deaths among patients under Dr. Harold Shipman’s care. What seemed like tragic heart failures were actually part of a chilling pattern that led to his arrest and conviction for 15 murders. From: Diagnosis: Unknown S2 Ep4 | Real Responders | Facebook