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ADDED HEART SOUNDS

Cardiology

ADDED HEART SOUNDS

S3 gallop rythm, sounds like KENTUCKY.
1. LV S3 - physiological (when < 40yrs), pathological when > 40yrs (LV failure, AR, MR, VSD, PDA).
2. RV S3 - RV failure.

S4 gallop rythm, sounds like TENESSEE. Does not occur in AF.
1. LV S4 - poor ventricular compliance (AS, MR, HTN, IHD, increased age).
2. RV S4 - PS, pulmonary hypertension.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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