PPHN was diagnosed as patient with MAS and loud 2nd heart
sound supported by echocardiography.
Clinical examination revealed ejection systolic murmur in pulmonary area with wide fixed splitting of 2nd heart
Systemic examination revealed wide split 2nd heart
associated with sudden acceleration or deceleration of blood in the cardiovascular system is the key compositional element of the heart sound.6 This is divided largely into the 1st heart sound (S1) generated at the time of the closure of the mitral valve and the tricuspid valve and the 2nd heart
sound (S2) generated at the time of closure of the aortic valve and the pulmonary valve.
Heart sounds revealed metallic 1st heart sound and normal 2nd heart
sound without any murmur.
DUNDEE FIXTURES 2012-13 AUGUST 4th Kilmarnock (A) 11th St Mirren (H) 18th Dundee United (A) 25th Ross County (H) SEPTEMBER 2nd Hearts
(A) 15th Motherwell (H) 22nd Celtic (A) 29th St Johnstone (H) OCTOBER 6th Hibs (A) 20th Inverness (H) 27th Aberdeen (A) NOVEMBER 3rd Hearts (H) 10th Motherwell (A) 17th Hibs (H) 24th St Mirren (A) 28th Kilmarnock (H) DECEMBER 8th Dundee United (H) 15th Ross County (A) 22nd Inverness (A) 26th Celtic (H) 29th Aberdeen (H) JANUARY 2nd St Johnstone (A) 19th Hibs (A) 26th St Mirren (H) 30th Hearts (A) FEBRUARY 9th Ross County (H) 16th Aberdeen (A) 23rd Celtic (A) 27th St Johnstone (H) MARCH 9th Inverness (H) 16th Dundee United (A) 30th Motherwell (H) APRIL 6th Kilmarnock (A)