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The Art and Science of Cardiac Physical Examination (With Heart Sounds, Jugular and Precordial Pulsations)by Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B Saksena
This video is a recording from a patient with aortic valve prosthesis. The mechanical valve closure sound is sharp and represents the S2. The jugular pulsations show a single descent. This begins to fall after the S2. It is therefore a single diastolic descent (y descent). Therefore the jugular contour is abnormal.
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