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Fourth heart sound, S>4<, inaudible
Abnormal fourth heart sound, S>4<
Any abnormality of the fourth heart sound [from SNOMEDCT_US]
Fourth heart sound, S>4<
An auscultated finding that describes a low-frequency sound, heard late in diastole just before S1, caused by forceful atrial contractions, signifying the fourth heart sound. It is typically abnormal, except in highly trained athletes and the elderly. (ACC-AHA) [from NCI]
Fourth heart sound
The fourth heart sound (S4) is a low-pitched sound that occurs just before the first heart sound (S1) when the atria contract to force blood into the left ventricle, that is, coincident with late diastolic filling of the ventricle due to atrial contraction. [from HPO]
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