Study objectives: The presence of abnormal diastolic heart sounds (S3 and S4) is indicative of elevated ventricular filling pressures and suggests decompensated heart failure. We sought to determine the prevalence of abnormal diastolic heart sounds in emergency department (ED) patients presenting with ...
CLINICAL PEARL: A S3 heart sound is often a sign of systolic heart failure, however it may sometimes be a normal finding. A S3 can be an important sign ofsystolic heart failurebecause, in this setting, the myocardium is usually overly compliant, resulting in a dilated LV; this can be see...
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IN NOVEMBER, I940, I made a report concerning 38 patients who had been operated upon for wounds of the heart or intrapericardial portions of great vessels.'All of thesepatients were operated upon in the Emory University Division of Grady Hospital, Atlanta. Since that time...