The S3 Gallop | SpringerLink

A ventricular gallop sound is an extra heart sound. · S3 gallop is a low frequency, early to mid-diastolic sound. · In the normal heart during normal sinus rhythm ... Skiptomaincontent Advertisement SearchSpringerLink Search AbstractThethirdheartsound(S3)mostcommonlyappearsinindividualsundertheageofforty.Apathologicpresentationoccursmoreofteninolderindividualsinvolume-overloadedstates,suchasheartfailure.Thisdiastolicgallopisproducedbyrapiddecelerationoftransmitralbloodflowasitstrikesanoncompliantleftventricle.Thechangeinvelocitycausesreverberationsthatproducethesound.AnS3isbestdetectedinaquietroomwiththebellofthestethoscopeplacedattheapexwhilethepatientisintheleftlateraldecubitusposition.Apositivefindingmayhaveseveralimplicationsdependingontheclinicalcontext.MostoftenanS3isasignofreducedleftventricularejectionfractionandthereforeleftventriculardysfunction.Inaorticstenosis,tricuspidregurgitationandmitralregurgitationthepresenceofathirdheartsoundisasignofseveredisease.Similarly,theprognosisforaheartfailurepatientwithanS3isworse.Treatmentisaimedatalleviatingtheunderlyingdiseaseprocessthroughmedicalorsurgicalintervention.KeywordsS3GallopThirdHeartSoundLeftVentricularDysfunctionHeartFailureDiastolicSounds Thisisapreviewofsubscriptioncontent,accessviayourinstitution. Buyingoptions Chapter EUR 29.95 PriceincludesVAT(Singapore) DOI:10.1007/978-1-4471-6738-9_18 Chapterlength:12pages InstantPDFdownload Readableonalldevices Ownitforever Exclusiveofferforindividualsonly Taxcalculationwillbefinalisedduringcheckout BuyChapter eBook EUR 32.09 PriceincludesVAT(Singapore) ISBN:978-1-4471-6738-9 InstantPDFdownload Readableonalldevices Ownitforever Exclusiveofferforindividualsonly Taxcalculationwillbefinalisedduringcheckout BuyeBook SoftcoverBook EUR 39.99 PriceexcludesVAT(Singapore) ISBN:978-1-4471-6737-2 Dispatchedin3to5businessdays Exclusiveofferforindividualsonly FreeshippingworldwideShippingrestrictionsmayapply,checktoseeifyouareimpacted. Taxcalculationwillbefinalisedduringcheckout BuySoftcoverBook Learnaboutinstitutionalsubscriptions Fig.18.1Fig.18.2Fig.18.3Fig.18.4Fig.18.5 AbbreviationsACC/AHA: AmericanCollegeofCardiology/AmericanHeartAssociation ACE: Angiotensin-convertingenzyme AVvalves: Atrioventricularvalves BMI: Bodymassindex CHF: Congestiveheartfailure EDV: End-diastolicvolume EF: Ejectionfraction HF: Heartfailure LV: Leftventricular LVEDP: Leftventricularenddiastolicpressure LVEF: Leftventricularejectionfraction LVH: Leftventricularhypertrophy NSAID: Non-steroidalanti-inflammatorydrug PMI: Pointofmaximumimpulse PWDoppler: PulsedandcontinuouswaveDoppler S1: Firstheartsound S2: Secondheartsound S3: Thirdheartsound S4: Fourthheartsound SOB: Shortnessofbreath ReferencesBonowRO,MannDL,ZipesDP,LibbyP.Braunwald’sheartdisease:atextbookofcardiovascularmedicine.9thed.Philadelphia:ElsevierSaunders;2012. 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GoogleScholar  DownloadreferencesAuthorinformationAuthorsandAffiliationsGeorgetownUniversityHospital,GeorgetownUniversitySchoolofMedicine,Washington,DC,USACaraSweeneyBS,MD & BlakeChoplinBA,MDAuthorsCaraSweeneyBS,MDViewauthorpublicationsYoucanalsosearchforthisauthorin PubMed GoogleScholarBlakeChoplinBA,MDViewauthorpublicationsYoucanalsosearchforthisauthorin PubMed GoogleScholarCorrespondingauthorCorrespondenceto CaraSweeneyBS,MD.EditorinformationEditorsandAffiliationsMedstarGeorgetownUniversityHospital,Washington,DistrictofColumbia,USAAllenJ.Taylor1ElectronicSupplementaryMaterialVideo18.1S3murmur.AlsosoftStill’smurmur;EchoisWNL(ProvidedbyRobinWinklerDoroshow,MD,MedstarGeorgetownUniversityHospital,Washington,DC)(MP41150kb)Video18.2SeveralpatientswithanS3gallop,includinga60yearoldwomanwithventriculargallop,asdescribedbyDr.W.ProctorHarvey(File082fromClinicalCardiologybyW.ProctorHarvey,MD,MACC,JulesBedynek,MD,andDavidCanfieldandpublishedbyLaennecPublishingInc.,Fairfield,NJ.UsedwithpermissionandcopyrightedbyLaennecPublishing,Inc.Allrightsreserved)(MP42927kb)RightsandpermissionsReprintsandPermissionsCopyrightinformation©2015Springer-VerlagLondonAboutthischapterCitethischapterSweeney,C.,Choplin,B.(2015).TheS3Gallop. In:Taylor,A.(eds)LearningCardiacAuscultation.Springer,London.https://doi.org/10.1007/978-1-4471-6738-9_18Downloadcitation.RIS.ENW.BIBDOI:https://doi.org/10.1007/978-1-4471-6738-9_18 PublisherName:Springer,London PrintISBN:978-1-4471-6737-2 OnlineISBN:978-1-4471-6738-9eBookPackages:MedicineMedicine(R0)SharethischapterAnyoneyousharethefollowinglinkwithwillbeabletoreadthiscontent:GetshareablelinkSorry,ashareablelinkisnotcurrentlyavailableforthisarticle.Copytoclipboard ProvidedbytheSpringerNatureSharedItcontent-sharinginitiative Accessviayourinstitution Buyingoptions Chapter EUR 29.95 PriceincludesVAT(Singapore) DOI:10.1007/978-1-4471-6738-9_18 Chapterlength:12pages InstantPDFdownload Readableonalldevices Ownitforever Exclusiveofferforindividualsonly Taxcalculationwillbefinalisedduringcheckout BuyChapter eBook EUR 32.09 PriceincludesVAT(Singapore) ISBN:978-1-4471-6738-9 InstantPDFdownload Readableonalldevices Ownitforever Exclusiveofferforindividualsonly Taxcalculationwillbefinalisedduringcheckout BuyeBook SoftcoverBook EUR 39.99 PriceexcludesVAT(Singapore) ISBN:978-1-4471-6737-2 Dispatchedin3to5businessdays Exclusiveofferforindividualsonly FreeshippingworldwideShippingrestrictionsmayapply,checktoseeifyouareimpacted. 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