S4 at the apex
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S4 at the apex
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WebS 4 is sometimes audible in the elderly due to a more rigid ventricle. When loud, it is a sign of a pathologic state, [5] usually a failing left ventricle. If the problem lies with the left … WebThe exact genesis of S4 is controversial but it appears to be related to an increased resistance to ventricular filling during atrial contraction. An S4 can be heard in several …
WebThe S4 occurs in late diastole, just before S1, coinciding with atrial contraction (the a wave in the jugular venous waveform). It is generally present when the heart is so stiff that it is …
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