Third and Fourth Heart Sound Gallop 676 Lesson
The patient was supine during auscultation.
Description
On this page, we present a recording of a third and fourth heart sound gallop. Note that the third and fourth heart sounds are low frequency. S4 has a pitch somewhat lower than S3.
Patients with heart failure will often have a third heart sound. As the patient's condition improves, this S3 becomes a third and fourth heart sound gallop.
Phonocardiogram
Anatomy
Third and Fourth Heart Sound Gallop 676
Authors and Sources
Authors and Reviewers
-
Heart sounds by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient.
- Lung sounds by Diane Wrigley, PA
- Respiratory cases: William French
-
David Lieberman, Audio Engineering
-
Heart sounds mentorship by >W. Proctor Harvey, MD
- Special thanks for the medical mentorship of Dr. Raymond Murphy
- Reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.
-
Last Update: 11/10/2021
Sources
-
Heart and Lung Sounds Reference Library
Diane S. Wrigley
Publisher: PESI -
Impact Patient Care: Key Physical Assessment Strategies and the Underlying Pathophysiology
Diane S Wrigley & Rosale Lobo - Practical Clinical Skills: Lung Sounds
- PESI Faculty - Diane S Wrigley
-
Case Profiles in Respiratory Care 3rd Ed, 2019
William A.French
Published by Delmar Cengage -
Essential Lung Sounds
by William A. French
Published by Cengage Learning, 2011 -
Understanding Lung Sounds
Steven Lehrer, MD
-
Clinical Heart Disease
W Proctor Harvey, MD
Clinical Heart Disease
Laennec Publishing; 1st edition (January 1, 2009) -
Heart and Lung Sounds Reference Guide
PracticalClinicalSkills.com
