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.
Listen
The patient was supine during auscultation.
Visualize
Observe
The cardiac animation shows an enlarged left ventricle with decreased left ventricular contractility and a minimally enlarged left atrium.
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