S4 Heart Sound - Family Practice Notebook

S4 represents rapid active ventricular filling. Occurs as atria contract during late diastole · Outside of normal causes (see below), typically represents a ... advertisement Home CardiovascularMedicineBook ExaminationChapter S4HeartSound S4HeartSound Aka:S4HeartSound,S4Gallop,S4GallupRhythm,FourthHeartSound CardiovascularMedicine ExaminationChapter CoronaryArteryDisease CanadianCardiovascularSocietyAnginaClassification DAPTScore CoronaryRiskStratificationofChestPain BosnerChestPainDecisionRule ChestWallPainPredictionRule DiamondandForresterChestPainPredictionRule EmergencyDepartmentAssessmentofChestPainScore CardiacRiskinDiabetesScore FraminghamCardiacRiskScale GoldmanCriteriaforICUChestPainAdmission GRACEScore HEARTScore INTERCHESTChestPainRule MarburgHeartScore TIMIRiskScore Troponin-OnlyManchesterAcuteCoronarySyndromeDecisionAid VancouverChestPainRule CongestiveHeartFailure CHFDecisionRuleforPredictingMortality NYHAHeartFailureClassification FraminghamHeartFailureDiagnosticCriteria OttawaHeartFailureRiskScore PointofMaximumImpulse Dermatology Cyanosis Electrocardiogram Electrocardiogram CCSSymptomSeverityinAtrialFibrillationScale CHADScore CHADS2-VAScScore HeartRate QRSAxis LeftAxisDeviation RightAxisDeviation BundleBranchBlock SgarbossaCriteria PRInterval QRSComplex QTInterval EKGinPulmonaryEmbolism RightVentricularStrainEKGPattern LeftVentricularHypertrophyRelatedEKGChanges RightVentricularHypertrophy JPoint STSegment STElevation EarlyRepolarization ElectrocardiogramValidity EpsilonWave JWave PWave QWave RWave TWave DeWinterTWave Wellen'sSyndrome UWave Hypertension BloodPressure AmbulatoryBloodPressureMonitoring HomeBloodPressureMonitor Hypotension Hypotension OrthostaticHypotension PosturalOrthostaticTachycardiaSyndrome Shock ShockIndex Pediatrics PediatricMurmur PhysiologicPPS PulmonaryFlowMurmur Still'sMurmur SupraclavicularMurmur VenousHum PediatricVitalSigns PericardialDisorders Pericardium PericardialFrictionRub Physiology BloodPressurePhysiology Renin-AngiotensinSystem CardiacOutput Afterload CentralVenousPressure BloodVolume Preload Symptoms CarotidSinusMassage CanadianSyncopeRiskScore SanFranciscoSyncopeRule ValvularDisease HeartAuscultation HeartMurmur DiastolicMurmur SystolicMurmur S1HeartSound S2HeartSound S3HeartSound S4HeartSound CirculatoryDisorders AllenTest Angiogenesis ArterialBruit CarotidBruit Duroziez'sSign PassiveLegRaiseManeuver JugularVenousPulsation Pistol-ShotSound ArterialPulse CollapsingPulse PulsusParadoxus PulsePressure Vitals VitalSign FromRelatedChapters Pharmacology HerbalsAffectingBloodPressure SeeAlso PageContents HeartAuscultation S1HeartSound S2HeartSound S3HeartSound HeartMurmur PediatricMurmur PageContents... Pathophysiology Signs Causes Resources Extra:RelatedBingImages Extra:RelatedStudies Extra:UMLSOntology Extra:NavigationTree advertisement II.Pathophysiology S4representsrapidactiveventricularfillingOccursasatriacontractduringlatediastole Outsideofnormalcauses(seebelow),typicallyrepresentsastiffventriclethatresistsdilationAssociatedwithVentricularHypertrophyandDiastolicDysfunction III.Signs S4,S1,S2Soundlike"Ten-ne-see"(dub-lub-dub) IV.Causes Normalinathletesandtheelderly StiffLeftVentricleHypertensionDiastolicDysfunctionCoronaryArteryDiseaseAorticStenosisCardiomyopathyVentricularHypertrophy V.Resources UniversityofMichiganHeartSoundandMurmurLibraryhttp://www.med.umich.edu/lrc/psb/heartsounds/ Images:Relatedlinkstoexternalsites(fromBing) TheseimagesarearandomsamplingfromaBingsearchontheterm"S4HeartSound."Clickontheimage(orrightclick)toopenthesourcewebsiteinanewbrowserwindow.SearchBingforallrelatedimages RelatedStudies TripDatabase TrendMD Ontology: Atrialsound (C0232240) Concepts Finding (T033) SnomedCT 48038003,277454003 LNC LA18245-3 English Fourthheartsound,S4(function),Fourthheartsound,S4,function(observableentity),Fourthheartsound,S4,Fourthheartsound,S₄(function),Fourthheartsound,S₄,function(observableentity),Fourthheartsound,S₄,Fourthheartsound,S4,function,Fourthheartsound,S>44,function,Fourthheartsound,S₄,NOS,Fourthheartsound,S>44444,cuartoruidocardíaco,R4(función),cuartoruidocardíaco,R4,cuartoruidocardíaco,R₄(función),cuartoruidocardíaco,R4(entidadobservable),cuartoruidocardíaco,R₄(entidadobservable),cuartoruidocardíaco,R>444