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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is S2 Physiological Split Concerning?

Hello I went to the doctor the other day for heart palpitations. I have been having them for about a year now but recently i have been having 10 to 20 of them a day. It feels like a flip flop type of feeling in my chest when i have them. The doctor said i have an S2 physiological split. and ordered a halter monitor. Is this bad? what do i expect after the halter monitopr is done?
Wed, 17 May 2017
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Pulmonologist,  's  Response
hello
Welcome to HCM.
S2 split is as described is physiologic meaning a normal response of the body. It may increase during inspiration. It does not imply anything significant in your case. It is also found in people with high BP.
Holter monitoring is procedure where they attach you with a small machine and some wires and send you home. This machine records your ECG as you go about your daily acitivities.. This will show the toe of missed beats you have, their character and if they can cause you problems. Once your readings are out, they will guideyou with the treatment.
Most of the missed beats rewrite either no treatment or medical management. If the arrhythmias are found to be threatening then you may require a pacer decvice or a defibrillator. But since you have had no symptoms with the palpitations I suppose they are benign arrhtymias and do not require treatment.
Wishing you good health.
Regards.
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Is S2 Physiological Split Concerning?

hello Welcome to HCM. S2 split is as described is physiologic meaning a normal response of the body. It may increase during inspiration. It does not imply anything significant in your case. It is also found in people with high BP. Holter monitoring is procedure where they attach you with a small machine and some wires and send you home. This machine records your ECG as you go about your daily acitivities.. This will show the toe of missed beats you have, their character and if they can cause you problems. Once your readings are out, they will guideyou with the treatment. Most of the missed beats rewrite either no treatment or medical management. If the arrhythmias are found to be threatening then you may require a pacer decvice or a defibrillator. But since you have had no symptoms with the palpitations I suppose they are benign arrhtymias and do not require treatment. Wishing you good health. Regards.