The fourth heart sound (S4), also known as the “atrial gallop,” occurs just before S1 when the atria contract to force blood into the left ventricle. If the left ventricle is noncompliant, and atrial ...

An S4 heart sound is a low-pitched sound that occurs toward the end of the diastole. In some cases, an underlying health condition, often one affecting the left ventricle, may cause the S4 heart sound ...

IT IS possible that the existence of the heart sounds was known to Hippocrates 1 and even that he made use of his knowledge for diagnostic purposes, but William Harvey 2 seems to have been the first ...

The independent prognostic value of elevated jugular venous pressure or a third heart sound in patients with heart failure is not well established. In patients with heart failure, elevated jugular ...