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						Heart Sounds - CV Physiology
						https://www.cvphysiology.com/Heart%20Disease/HD010#:~:text=The%20fourth%20heart%20sound%20%28S%204%29%2C%20when%20audible%2C,ventricular%20hypertrophy%2C%20myocardial%20ischemia%2C%20or%20in%20older%20adults.
						
						 
						
						
						
						Audio Heart Sound of S4 Fourth Heart Sound : Real Time ...
						https://www.youtube.com/watch?v=gZ6zJVQXPH8
						Our Twitter Page has been changed to : www.twitter.com/MedRx22You are listening to Fourth Heart Sound : Ta-Lub-Dub , S4+S1-S2 , Heard soon before closure of ...
						 
						
						
						
						S4 Heart Sound - MEDZCOOL - YouTube
						https://www.youtube.com/watch?v=KcMF8rJDTIk
						The S4 heart sound (aka an "atrial gallop") is heard late in diastole, occurring during the atrial filling phase and coincides with the p-wave on an electroc...
						 
						
						
						
						The Fourth Heart Sound - Clinical Methods - NCBI Bookshelf
						https://www.ncbi.nlm.nih.gov/books/NBK344/
						A fourth heart sound arising from the right ventricle is best heard with the bell of the stethoscope placed at the lower left sternal border or subxiphoid area. As with other sounds arising from the right side of the heart, the intensity of the sound may be transiently increased during inspiration as a consequence of enhanced right atrial filling.
						 
						
						
						
						What Are the Four Heart Sounds? - MedicineNet
						https://www.medicinenet.com/what_are_the_four_heart_sounds/article.htm
						This may be a normal sound in some people but in people with heart conditions, S3 may indicate heart failure. Fourth sound The fourth is a low-intensity sound heard just before S1 in the cardiac cycle. The sudden slowing of blood flow by the ventricle as the atrium contracts causes this sound, which may be a sign of heart disease. IMAGES
						 
						
						
						
						Fourth Heart Sound Gallop - Heart and Lung Sounds
						https://www.easyauscultation.com/cases?CourseCaseOrder=2&CourseID=25
						The fourth heart sound occurs in late diastole just prior to the first heart sound. The first heart sound is decreased in intensity and the second heart sound is increased in intensity. The fourth heart sound is produced by an increase in stiffness of …
						 
						
						
						
						Fourth Heart Sound - an overview | ScienceDirect Topics
						https://www.sciencedirect.com/topics/medicine-and-dentistry/fourth-heart-sound
						The fourth heart sound is sometimes called the atrial gallop or presystolic gallop2 To mimic the sound, the clinician establishes the cadence of S 1 and S 2 ( lub dup) and then adds a presystolic sound ( be ): be lub dup be lub dup be lub dup The cadence of S 4 gallop ( be lub dup) is similar to the cadence of Tennessee. †
						 
						
						
						
						Heart Sounds - CV Physiology
						https://www.cvphysiology.com/Heart%20Disease/HD010
						The fourth heart sound (S 4 ), when audible, is caused by vibration of the ventricular wall during atrial contraction. This sound is usually associated with a stiffened ventricle (low ventricular compliance ), and therefore is heard in patients with ventricular hypertrophy, myocardial ischemia, or in older adults.
						 
						
						
							
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