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Opening snap follows S2: shorter interval from S2 ( < 0.1 sec) means higher LAP and more severe MS [very calcified MS may not have opening snap] Diastolic rumble: low-pitched apical rumble begins after opening snap (pre-systolic accentuation occurs with atrial contraction when in NSR) Sternal lift (enlargement of RV due to pulmonary hypertension) ................
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