heart sounds compared to ECG?
this may sound stupid but i just really want it to make sense in my head so pls help!
this is about S1, S2 compared to an ECG..
i understand that S1 is heard when the AV valves close caused by the contraction of the ventricles. S2 is heard when the semilunar valves close caused by the contraction of the atria.
i also understand that the P wave represents the atrial depolarization (which then equals to atrial contraction) and QRS to ventriclular depolarization (ventricle contraction).
thus, QRS basically is when you hear the S1 sound and P is when you hear the S2 sound.
now how come we hear it as “lub dub” (S1 and then S2) but when we look at the monitor, it looks like a “dub lub” (S2 or P wave first; then S1 or QRS)? why is P closer to QRS versus QRS closer to the next P so that it looks like a lub dub?
i understand that the first electrical impulse comes from the SA node and so the atria contracts first but why do we HEAR it to the order of S1 (QRS) to S2 (P) which would technically be lub (gap) dub (versus lub-dub)
i dont know. i guess i’m just confused about how in the monitor, there seems to be a longer gap between QRS to P (where T and U come in) versus P to QRS.
sorry if it’s confusing..
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