Summation Gallop at 120 beats per minute

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At a heart rate of 120 beats per minute, the diastolic period is shortened. This causes the third and fourth sound to be superimposed, creating a single loud sound.

The anatomy tab shows an enlarged left ventricle with decreased left ventricular contractility and a minimally enlarged left atrium.

Summation Gallop at 120 beats per minute
The recommended auscultation position for the stethoscope is the Mitral position. For this sound, use stethoscope's Diaphragm.


maneuver
The recommended patient position is Supine

Phonocardiogram

waveform
This waveform plots sound amplitude on the vertical axis against time on the horizontal axis.

Heart Animation

CaseID87
CourseID25
CourseCaseOrder4
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