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Korotkov described 5 sounds. Only the first (the onset of audible sound, and corresponding to systolic pressure) and the fifth (sound becomes inaudible, corresponding to diastolic pressure) are of practical clinical significance (however, see:Auscultatory gap) Kussmaul breathing [5] Adolph Kussmaul: endocrinology: metabolic acidosis
Rokurokubi (ろくろ首, 轆轤首) is a type of Japanese yōkai (apparition). They look almost completely like humans with some differences. There is a type whose neck stretches and another whose head detaches and flies around freely (nukekubi). The Rokurokubi appear in classical kaidan (spirit tales) and in yōkai works. [1]
The loudness of the murmur does not correlate well with the severity of regurgitation. It may be followed by a loud, palpable P 2, [6] heard best when lying on the left side. [7] A third heart sound is commonly heard. [6] Patients with mitral valve prolapse may have a holosystolic murmur or often a mid-to-late systolic click and a late systolic ...
Bruit, also called vascular murmur, [3] is the abnormal sound generated by turbulent flow of blood in an artery due to either an area of partial obstruction or a localized high rate of blood flow through an unobstructed artery.
In contrast to most other heart murmurs, the murmur of mitral valve prolapse is accentuated by standing and Valsalva maneuver (earlier systolic click and longer murmur) and diminished with squatting (later systolic click and shorter murmur). The only other heart murmur that follows this pattern is the murmur of hypertrophic cardiomyopathy. An ...
The presence of a murmur at the apex can be misinterpreted as mitral regurgitation. However, the apical murmur of the Gallavardin phenomenon does not radiate to the left axilla and is accentuated by a slowing of the heart rate (such as a compensatory pause after a premature beat) whereas the mitral regurgitation murmur does not change. [2]
Patients with mitral valve prolapse may have a mid-systolic click along with a murmur, referred to as apical late systolic murmur. [3] Early systolic clicks may also be present in some patients. [4] Aortic and pulmonary stenosis may cause an ejection click [5] immediately after S 1.
Because pulmonic regurgitation is the result of other factors in the body, any noticeable symptoms are ultimately caused by an underlying medical condition rather than the regurgitation itself. [3] However, more severe regurgitation may contribute to right ventricular enlargement by dilation, and in later stages, right heart failure . [ 8 ]