Third Heart Sound Gallop 677 Lesson #677
The patient was supine during auscultation.
Description
The third heart sound (S3) is a low-frequency sound best heard with the stethoscope bell, pressed lightly on the skin. A third heart sound occurs early in diastole. In the presence of S3, the first heart sound has diminished loudness. The second heart sound becomes louder.
Sudden deceleration of blood flow into the left ventricle from the left atrium causes the third heart sound. Observe the dilated, thin-walled left ventricle with generalized decreased contraction vigor in the cardiac animation video.
In young people and athletes, it is a normal phenomenon. In older people, S3 indicates congestive heart failure.
Phonocardiogram
Anatomy
Third Heart Sound Gallop 677
Authors and Sources
Authors and Reviewers
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Heart sounds by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient.
- Lung sounds by Diane Wrigley, PA
- Respiratory cases: William French
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David Lieberman, Audio Engineering
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Heart sounds mentorship by W. Proctor Harvey, MD
- Special thanks for the medical mentorship of Dr. Raymond Murphy
- Reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.
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Last Update: 11/10/2021
Sources
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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
- Essential Lung Sounds
Diane S. Wrigley, PA-C
Published by MedEdu LLC - PESI Faculty - Diane S Wrigley
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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
