Loud pulmonary component of second heart sound is heard in :
A. Pulmonary hypertensionB. TOF
C. Eisenmenger syndrome
D. Pulmonary stenosis
Ans. (A) Pulmonary hypertension
In pulmonary hypertension, P2
is loud, and splitting of the second heart sound may be diminished, normal, or
accentuated, depending on the cause of the pulmonary hypertension, the
pulmonary vascular resistance, and the presence or absence of right ventricular
decompensation. Loud P2: Pulmonary hypertension
Loud A2:
Systemic hypertension ; Aortitis ;
Aortic aneurysm