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S4 Heart SoundAka: S4 Gallop, S4 Gallup Rhythm, Fourth Heart Sound

Signs
1. S4, S1, S2 Sound like "Ten-ne-see" (dub-lub-dub)
Causes
1. Normal in athletes and the elderly
2. Stiff Left Ventricle
  1. Hypertension
  2. Coronary Artery Disease
  3. Aortic Stenosis
  4. Cardiomyopathy

Fourth heart sound, S>4< (C0232240)
Concepts	Finding (T033)
English	Atrial sound
Spanish	ruido auricular
Parent Concepts	Heart Sounds (C0018820), Added heart sounds (C0425641)
Sources	DXP, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System)

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 8/14/2009. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.

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S4 Heart SoundAka: S4 Gallop, S4 Gallup Rhythm, Fourth Heart Sound

Fourth heart sound, S>4< (C0232240)

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