261
4254147819011156112
Causes1205596012894156226280343398
of1637596012870117
Attenuation17895960128102140178241310381442481520591660
Both2485596012893164202271
Sounds2792596012878148217287358412
in3239596012839108
Normal33835960128101171218326387426
Conditions:3845596012893163234304342381420490560614654
1.1205839012870106
Thick13468390128157227266329398
chest1780839012862131194248287
wall21028390128101163202240
–2378839012871
excessive2485839012862131193255310364403473536
development3054839012871133204265304374444553613683723
of3813839012870116
muscles39658390128109177232294333396450
and4450839012863133202
adipose4688839012862131170240310364426
tissue.514983901283978133187256319354
2.12051080012870106
During134610800128173242290329398469
sleep18501080012863101164227296
–21811080012881
reduced22961080012856119188258321382453
heart27841080012879141204250288
rate,31081080012856118156219254
increased33971080012848118180227288351405467539
diastolic39721080012878117180234272343381421482
ventricular44891080012880142212250298337398469507569616
filling,5140108001285695133173211281351386
decreased8511321012870133195242304366420483552
blood14391321012879118187258328
flow1802132101285695165266
velocity.21021321012879142181250313351391461494
In26321321012855125
the27931321012848119182
supine30101321012864133203242312375
position,34201321012879149204242281320390460495
the39501321012848119181
heart41671321012878141203250288
moves450013210128109177247310365
away49001321012872173235305
from52391321012855102172283
the8511563012839110172
anterior10591563012860131169232279317387433
chest15271563012863133195249288
wall,185015630128102163202241276
leading21611563012839101164233271342412
to26081563012839108
weakened275215630128101163225294357427489558
heart33451563012871133195241280
sounds.36611563012853124193263334388423
Pathological12051805012878140179249320358429498537600662700
Causes19401805012894156225280343396
of23701805012871118
Attenuation252318050128101139178241311380443481521590660
Both32181805012894164202272
Sounds:35241805012878148219288358413452
1.12052046012870106
Increased134620460128118188251298360422476539608
airiness19892046012887126172211281344397452
of24762046012895142
lung26522046012863133204273
tissue29602046012864102157211281345
in33412046012862132
the35082046012863134196
heart's37382046012894156218265304330383
projection41572046012893141210249311373412451520591
on47832046012894164
the49822046012863133196
chest52132046012886156219272311
wall85122880128101163202242
–11272288012870
emphysema.12332288012862171239310380433496606666701
2.12052529012870106
Left-sided134625290128157219266305352407445515578647
exudative20282529012875144214285347385424494557
pleuritis26192529012882121184253300338378416470
or31252529012882129
pneumothorax,32892529012882151214283393461500571641688750820856
pushing41782529012883153207277316386456
the46692529012851121184
heart48872529012883145207254293
away52142529012875177239309
from851277101284794164273
the11572771012839109172
anterior13652771012862132170233280318388435
chest18352771012862132195248288
wall.215827710128102163201241276
•12053012012849
Intracardiac128930120128175245285331393456518565634673735798
causes21223012012862124193247310365
of25213012012870117
simultaneous2672301201285594204272311351413482545614685739
attenuation:34463012012863100140202272341404442482551622660
Pericardial41423012012878140187225287350395466504567605
effusion.47823012012863109156225280318389459494
•12053254012849
Decreased128932540128230292354401463525580642712
contractility20373254012885154223263309371434472512550590628699
of27693254012893140
the29443254012861132194
ventricular31733254012892155224263310349411481519582629
myocardium.383632540128133202270333395442512552621731764
Causes463532540128115178248303366419
include50903254012861131194231302372434
myocardial85134950128109178247309372418489528591630
dystrophy,151634950128135206258298345414484554624659
myocarditis,221034950128174243311374437483554593633671726762
cardiomyopathies,300734950128126188235304344413523592660731794833902942100510581094
and413634950128126196266
cardiac443734950128126189235305345407469
sclerosis,494134950128119182220283330399453492546581
myocardial85137370128109178247309372418489528591630
infarction.15163737012840111158219266328366406475546581
If2132373701284895
myocardial226537370128109178247310372419489528591629
contractility29303737012864133204242289352413452491530568608678
decreases,36423737012872135197244306368422485538574
the42513737012841110173
cardiac44593737012863126172243281344406
output49003737012871142181250321359
also52953737012864102156226
decreases,8513979012870133195242304366420483537572
leading14583979012839101163233272341412
to19063979012837108
attenuation20493979012861100139201271341404442481551620
of27053979012870117
both28563979012870141179249
S131423979012878147
and33253979012862132202
S2.35623979012878147182
Isolated12054220012847101172210273311374443
Changes168342200128129199261331400463518
in22364220012872143
the24144220012873144206
Intensity26554220012882152190253322376416454525
of321342200128105152
S1340042200128112183
or361842200128105152
S2:380542200128112183222
More406342200128159228275337
often,443542200128105151190253322358
intracardiac48264220012874144184230292355417464533571634695
causes8514461012862125195249312366
contribute12534461012861131201240286325395466504567
to18554461012838108
the19994461012837107170
amplification22044461012862171239278318365403466528566605675745
or29844461012870117
attenuation31364461012862100139202272341404442481551621
of37924461012871117
S139444461012878147
or41254461012871118
S2.42784461012878148183
•12054702012849
Amplification128947020128230339407447486533571634696734774843914
S1:22384702012879147186
•12054945012849
Mitral128949450128253292332378440479
stenosis18044945012882121184253323378416470
–23104945012899
thickening24454945012868137177239309372441480550620
of31004945012899146
the32814945012867137200
mitral351649450128137174213261323361
valve39124945012899162200270332
leaflets42794945012867130193239277340378433
enhances47484945012890159229292361424486539
the53234945012867137200
valvular8515186012870133172242311351412459
component13455186012874143253321392463526595633
of20145186012880127
S1.21765186012890159195
Reduced24175186012894156225295357420489
diastolic29415186012881120182237275345384423486
volume34625186012880150189259369429
in39265186012850121
the40835186012849120181
left42995186012850113158197
ventricle45325186012880143212252299337400437500
leads50675186012850112175244299
to54005186012851121
increased8515427012839110172218280343396459528
myocardial143454270128109178246309371418488528590628
contraction20975427012881151222260308370431470509579649
speed,27815427012874144206268338373
amplification31905427012880188256296335382421484546584624693763
the39895427012857127190
muscular423354270128109177232295365404466513
and47815427012881150221
vascular50375427012888151205267337376439484
components8515669012862133242310381451514583622677
of15625669012870117
S1.17145669012878148184
In19335669012846115
mitral208356690128110146186233295334
stenosis,2453566901285392155224294349387442477
S129655669012878148
is3148566901283993
called32765669012862124163202265335
"snapping"36465669012856111181243312383422491562619
S1.43005669012878148182
•12055911012849
Tachycardia128959110128214276338408479540602649719759820
•12056152012849
Extrasystole128961520128214284323370433486557610649720758821
–21456152012898
amplification22786152012890199267307346392431494556594634703773
of30866152012898145
S1326661520128105174
occurs34766152012896159221290337391
during39026152012898167214252323393
an43306152012890159
extra45246152012890159198245307
contraction48666152012889159229268316377439478517586656
after8516393012862109148211258
a11446393012862
short12416393012853124194241279
diastole.15556393012870108171225264334372435470
•12056635012849
Atrial128966350128230268315354417455
fibrillation,1780663501284685155202240279318381418458528597633
tachyform24486635012838101163232303348418466575
–30576635012872
shortening31646635012855125195242281343413451521592
of37906635012870117
diastole.39426635012870109171225264334372435470
•12056877012849
Complete128968770128222292402470509572611674
atrioventricular199868770128106144191230300370432501541588626688758798859906
(AV)29396877012891192293339
block,331468770128114153223285356391
causing374068770128106168238293332401472
a424768770128107
complete438968770128106175285353392455494557
temporal49816877012883145255323393441503541
separation8517118012855117188249296358396436506575
between14627118012878140179281342405474
atrial19717118012871108156195256296
and23027118012870139209
ventricular25477118012877139210248295333396465504567613
contractions.31957118012870139210248296358420458500571640694730
When396871180128132201263334
atrial43377118012871108156194256295
and46677118012870140210
ventricular49137118012877139208248295333396465503566612
contractions8517360012862133202242289351412451490559630684
coincide,15717360012862132170240303341411474508
S121147360012878148
is2297736001283994
amplificated24277360012862171239278317364403465527566628698
–31617360012871
cannon32677360012861124194264334404
sound37067360012853124194264334
(Strazhesko).40757360012847125163210272335404466520591661708743
•12057601012849
Attenuation128976010128230268308370440510572611649720790
S1:21147601012878147186