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123 Possible Causes for S4 Gallop

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  • Mitral Valve Incompetence

    Tests When listening to your heart and lungs, the health care provider may detect: A thrill (vibration) over the heart when feeling the chest area An extra heart sound (S4[baptistjax.com] […] night When listening to your heart and lungs, the health care provider may detect: A thrill (vibration) over the heart when feeling the chest area An extra heart sound (S4[medlineplus.gov] gallop) A distinctive heart murmur Crackles in the lungs (if fluid backs up into the lungs) The physical exam may also reveal: Ankle and leg swelling Enlarged liver Bulging[baptistjax.com]

  • Acute Myocarditis

    The physical examination is perhaps even more important, which can reveal tachycardia, cardiac murmurs (soft S1 sound, S3 or S4 gallop, as well as sounds pointing toward insufficiency[symptoma.com]

  • Congestive Heart Failure

    […] and or wheezing Dyspnea on exertion Jugular venous distension Orthopnea Bilateral lower extremity edema Paroxsysmal nocturnal dyspnea Lower extremity venous stasis S3 or S4[saem.org] gallops Hepatomegaly/ hepatojugular reflex Hemoptysis with blood tinged sputum Testing After eliciting a detailed history and completing a physical exam, clinical diagnostics[saem.org]

  • Tricuspid Valve Insufficiency

    The physical examination may also reveal jaundice, peripheral edema, ascites, weak peripheral pulse, pulmonary rales, and an S3 or S4 gallop.[symptoma.com]

  • Mitral Valve Insufficiency

    […] night When listening to your heart and lungs, the health care provider may detect: A thrill (vibration) over the heart when feeling the chest area An extra heart sound (S4[nlm.nih.gov] Tests When listening to your heart and lungs, the health care provider may detect: A thrill (vibration) over the heart when feeling the chest area An extra heart sound (S4[mountsinai.org] gallop) A distinctive heart murmur Crackles in the lungs (if fluid backs up into the lungs) The physical exam may also reveal: Ankle and leg swelling Enlarged liver Bulging[nlm.nih.gov]

  • Cardiomyopathy

    gallop due to thickened, non-compliant ventricle Possible murmur from mitral regurgitation Rapidly rising double arterial pulse in the carotid arteries ECG Abnormally deep[amboss.com] Physical findings include S4 gallop, prominent left ventricular impluse or lift, and brisk carotid upstroke.[clinicaladvisor.com] […] standing Decreases with hand grip , squatting , or passive leg elevation Extended area of Erb's point, left sternal border (laterally displaced due to myocardial hypertrophy ) S4[amboss.com]

  • Myocardial Infarction

    Heart sounds are auscultated for S3 or S4 gallops or new heart murmurs. Patient care and other activities should be organized to allow for periods on uninterrupted rest.[medical-dictionary.thefreedictionary.com]

  • Coronary Ischemia

    . • The physical exam may be entirely unremarkable but may demonstrate an S4 gallop, occasionally an S3 gallop if myocardial infarction is large and leads to significant left[brown.edu]

  • Hypertrophic Cardiomyopathy

    […] is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double carotid arterial pulse Apical[emedicine.medscape.com] […] impulse (less common) Normal first heart sound; second heart sound usually is normally split but is paradoxically split in some patients with severe outflow gradients; S3 gallop[emedicine.medscape.com]

  • Familial Hypertrophic Cardiomyopathy 1

    […] is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double carotid arterial pulse Apical[emedicine.medscape.com] […] impulse (less common) Normal first heart sound; second heart sound usually is normally split but is paradoxically split in some patients with severe outflow gradients; S3 gallop[emedicine.medscape.com]

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