Auscultation in Primary Care

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

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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

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

Heart Animation

Lessons

First and Second Heart Sounds - Normal and Unsplit
First and Second Heart Sounds - Reduced Intensity
Second Heart Sound - Splitting
Third Heart Sound Gallop
Fourth Heart Sound Gallop
Third and Fourth Heart Sound Gallop
Summation Gallop at 120 beats per minute
Second Heart Sound - Fixed Splitting
Mid-Systolic Click
Mitral Valve Leaflet Prolapse
Aortic Stenosis (Diamond Shaped Systolic Murmur)
Aortic Regurgitation (Decrescendo Diastolic Murmur)
Mitral Regurgitation (pansystolic Murmur)
Mitral Stenosis (Diastolic Murmur)

Practice Drill

Listening Tips
A synopsis of important sound features and timing for this abnormality.
Diastole: Shortened diastole, S3 & S4 superimposed.

CaseID	87
CourseID	25
CourseCaseOrder	4
ID	74