Auscultation in Primary Care

Third and Fourth Heart Sound Gallop

Both the third and fourth heart sounds (S3 and S4) are low frequency. S4 is lower than S3.

This is a pattern that occurs with improvement of heart failure. That is, an S3 pattern gives way to an S3 S4 pattern as the patient improves.

maneuver image
Maneuver:Supine
Chestpiece Position:Mitral
Chestpiece:Bell


This website is intended for use by medical professionals for educational purposes only. For medical care, contact a healthcare provider. Copyright 2017 © Medical Training and Simulation LLC. All Rights Reserved.

This website is intended for use by medical professionals for educational purposes only. For medical care, contact a healthcare provider. Copyright 2017 © Medical Training and Simulation LLC. All Rights Reserved.