Summation Gallop at 120 beats per minute 304 | Auscultation #304 | Lesson with Audio

Where to Auscultate

patient thorax when auscultating by stethoscope

patient position during auscultation
The patient was supine during auscultation.

Description

When the heart beats very rapidly, as in this recording, the diastolic period is compressed. This results in the third and fourth sounds merging, creating a single loud sound. Use the 'Visual' tab to view an animation of an enlarged left ventricle with decreased left ventricular contractility and a minimally enlarged left atrium.

Phonocardiogram

Anatomy

Summation Gallop at 120 beats per minute 304

The cardiac animation shows an enlarged left ventricle with decreased left ventricular contractility and a minimally enlarged left atrium.
Authors and Sources

Authors and Reviewers

Sources

  • Heart and Lung Sounds Reference Library Diane S. Wrigley
    Publisher: PESI
  • Impact Patient Care: Key Physical Assessment Strategies and the Underlying Pathophysiology
    Diane S Wrigley & Rosale Lobo
  • Practical Clinical Skills: Lung Sounds
  • PESI Faculty - Diane S Wrigley
  • Case Profiles in Respiratory Care 3rd Ed, 2019
    William A.French
    Published by Delmar Cengage
  • Essential Lung Sounds by William A. French
    Published by Cengage Learning, 2011
  • Understanding Lung Sounds Steven Lehrer, MD
  • Clinical Heart Disease W Proctor Harvey, MD
    Clinical Heart Disease
    Laennec Publishing; 1st edition (January 1, 2009)
  • Heart and Lung Sounds Reference Guide
    PracticalClinicalSkills.com




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