异常心音（Abnormal heart sounds）.docVIP

异常心音（Abnormal heart sounds） Room is a galloping horse Diastolic pentium, also known as the pre-systolic galloping horse rhythm, the atrial galloping or the fourth heart rhythm, is actually the fourth heart sound that is strengthened. Generally normal person cant hear, but sometimes can be heard in the elderly over the age of 40-50, atrial enlargement also hear, but disappeared in atrial fibrillation, when ventricular overfilling or to reduce the filling resistance increased, atrial pressure increased, atrial contraction to strengthen, the ventricular wall tension high-energy good conduction acoustics, chest wall atrial sound could be heard, as shown by common severe myocardial damage, such as myocardial infarction, myocarditis, cardiomyopathy, angina, hypertension, severe aortic stenosis in the and so on. If the right heart disease is seen in pulmonary heart disease or pulmonary artery stenosis and pulmonary hypertension; The left side of the patient with left heart disease was most clearly understood in the left ventricular pulsating. The right heart lesions should be heard on the left margin of the sternum, and the bell type head should be gently placed when listening. If the stethoscope is pressurized in the chest wall, it can not be heard clearly What is diastolic galloping? What is galloping? Normal adult heart has two heart sounds, becoming the first heart sound and second heart sound, gallop to appear after the second heart sound of additional heart sounds, with the original first and second heart sound combination of rhythm, like the sound of a horse running water chestnut touchdown, so called the gallop. According to gallop in the different time, can be divided into early diastolic gallop, the late diastolic gallop and overlaps gallop, of which the most early diastolic gallop stereotypes, it appears in 0.12 0.18 seconds after the second heart sound; In the late stage of diastolic galloping, the late galloping law occurred before the contraction period, whic