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S4 Heart Sound

Aka: S4 Heart Sound, S4 Gallop, S4 Gallup Rhythm, Fourth Heart Sound

I. Signs

  1. S4, S1, S2 Sound like "Ten-ne-see" (dub-lub-dub)

II. Causes

  1. Normal in athletes and the elderly
  2. Stiff Left Ventricle
    1. Hypertension
    2. Coronary Artery Disease
    3. Aortic Stenosis
    4. Cardiomyopathy

III. Resources

  1. University of Michigan Heart Sound and Murmur Library
    1. http://www.med.umich.edu/lrc/psb/heartsounds/

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Related Studies (from Trip Database) Open in New Window

Ontology: Atrial sound (C0232240)

Concepts Finding (T033)
SnomedCT 48038003, 277454003
LNC LA18245-3
English Fourth heart sound, S4 (function), Fourth heart sound, S4, function (observable entity), Fourth heart sound, S4, Fourth heart sound, S<sub>4</sub> (function), Fourth heart sound, S<sub>4</sub>, function (observable entity), Fourth heart sound, S<sub>4</sub>, Fourth heart sound, S4, function, Fourth heart sound, S>4<, function, Fourth heart sound, S<sub>4</sub>, function, Fourth heart sound, S<sub>4</sub>, NOS, Fourth heart sound, S>4<, NOS, Fourth heart sound, S4, NOS, S4 heart sound (physical finding), fourth heart sound, heart sounds S4, S4 heart sound, heart sound s4, s4 heart sound, heart s4 sounds, Fourth cardiac sound, S4, Atrial sound, Fourth heart sound, S>4<, function (observable entity), Fourth heart sound, S>4<, Atrial sound (finding), Fourth heart sound, S>4< (function)
Dutch vierde harttoon
French Quatrième bruit du coeur
German vierter Herzton
Italian Quarto tono cardiaco
Portuguese 4º som cardíaco
Spanish Cuarto ruido cardiaco, cuarto ruido cardíaco, R<sub>4</sub>, cuarto ruido cardíaco, R4 (función), cuarto ruido cardíaco, R4, cuarto ruido cardíaco, R<sub>4</sub> (función), cuarto ruido cardíaco, R4 (entidad observable), cuarto ruido cardíaco, R<sub>4</sub> (entidad observable), cuarto ruido cardíaco, R>4< (entidad observable), cuarto ruido cardíaco, R>4< (función), cuarto ruido cardíaco, R>4<, ruido auricular (hallazgo), ruido auricular
Japanese 第４音, ﾀﾞｲ4ｵ�
Czech Čtvrtá srde�ní ozva
Hungarian Negyedik szívhang
Derived from the NIH UMLS (Unified Medical Language System)

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