296
4654147819011156112
Gallop12055960128101163202242311382
Rhythm:1627596012894164235272342452489
First2151596012884123170224263
described2449596012875138192254301340410473542
by3026596012875145
Osler32105960128102156195258305
in3550596012844114
19123699596012876146216286
as4021596012866121
the4178596012843113175
"cry4389596012862125171241
of4663596012876123
the4821596012845116177
heart5034596012875138199246285
for5354596012852121167
help,"851839012870133172242277334
it121983901285189
is1344839012850105
a1484839012873
sign1593839012865103174243
of1872839012880128
a2035839012872
sharp2142839012867136199246315
decrease2492839012881144206253314377431493
in3020839012850120
myocardial31858390128109178247310372419489528591630
tone3850839012850120191252
and4137839012874143213
a4386839012872
rapid4493839012859121190230299
reduction4828839012858119190259322360399469539
in5402839012850119
the8511080012839110172
contractile10591080012863133203241288351413451490529592
ability16861080012864133173211249289360
of20791080012872119
the22331080012841111174
ventricular24421080012871134203242289327390459498560607
myocardium.308610800128109178248311373420489528598708740
Named386310800128102163274334404
for43031080012848119166
its4504108001284180134
resemblance46741080012849111165227336404444507577640701
to54101080012841111
the8511321012839110172
rhythm10591321012846115186223294403
of14951321012870117
a16471321012862
galloping17441321012871133172211281351390460530
horse.23091321012870140187242303338
Signs12051563012878117188257311
of15521563012870117
Gallop170415630128101163201240310380
Rhythm:21191563012894164234272342452489
1.12051805012870106
Tachycardia.134618050128157219281351422483545592662702763799
2.12052046012870106
Attenuation134620460128173211251313383453515554592663733
of21132046012870117
S122652046012878148
and24482046012863132202
S2.26862046012878148184
3.12052288012870106
Appearance134622880128173242313376438484546615678740
of21212288012871116
pathological22732288012870132170240311349419489528591653691
S329992288012878147
or31822288012870116
S433342288012878147
heart35162288012870133194241280
sounds.38322288012853123193263333387423
Subtypes12052529012878148219257328396459514
of17532529012870117
gallop19052529012871133171210280350
rhythm22902529012847116185223293404
include:27272529012839109172211281351413452
•12052771012849
Protodiastolic128927710128206253323362433502542603658696767806844907
gallop223127710128114177215254324394
rhythm:26592771012892162233270341451487
a318227710128109
three-component33262771012883154201262325372434503612680750821884954992
rhythm43542771012892161232269339449
due483627710128115186248
to51192771012884154
the53082771012883154216
appearance8513012012862133202265327374436506568631
of15153012012871118
pathological16663012012871133172242312351421491530593655693
S323943012012878147
(Fig.25783012012847125164233269
14a).28813012012871140203250286
•12053254012849
Presystolic128932540128206253316370441494533603642681743
gallop20673254012871133172211281351
rhythm:24543254012847116187225296405442
due29323254012873144206
to31743254012839109
the33193254012839109172
appearance35263254012863132202265327373435505568630
of41923254012870117
pathological43443254012872134173243313352422492531593656694
S450733254012878148
(Fig.52573254012848126165235270
14b).8513495012870141210258293
•12053737012849
Mesodiastolic128937370128253316370440510549612665705774813852915
gallop22383737012887148187226296366
rhythm:26393737012863133204241312421458
When314937370128132201264334
an35183737012879148
additional37023737012879148218257296335404475537576
sound43123737012871141212281351
appears46983737012879148218281342389443
in51773737012854124
the53363737012856125187
middle85139790128109146216287327389
of127539790128121168
diastole147839790128121160223276316385424486
(with19993979012897199237276346
pronounced238139790128121167237307377447517580642711
tachycardia,31283979012889150213283354414477523593632695730
S3389339790128129199
and412839790128112182252
S4441439790128130200
merge,464939790128161221267338401436
and512039790128113183253
a540839790128114
summation8514220012855125235343403442481552623
sound15094220012853123193263333
is1877422001283993
heard20054220012871132194241311
in23524220012838108
the24964220012837108170
middle270142200128109145216286326389
of31234220012871118
diastole).32744220012871110173226265335374437483519
Opening120544610128101171234304342412483
Snap172344610128108177240310
of20684461012899146
the22494461012869139200
Mitral248444610128155194233281342381
Valve.290044610128131193232302365402
A333744610128131
sign35034461012884122193263
of380144610128100147
mitral398344610128139176215262325364
stenosis.43824461012883123186255324379418472507
When495444610128132201263334
the53234461012869140201
mitral85147020128109146185233295334
valve12214702012881144182252314
leaflets15704702012850113175222260322360415
are20204702012873119182
fused,22374702012858128183245314350
the26224702012849120182
opening28394702012880151214283321392461
of33364702012881128
the34994702012849120183
mitral372747020128109146185233295334
valve40974702012880143181252313
is44454702012850105
accompanied45854702012873135198267377444507577617680749
by53694702012881152
significant851494501285594164233273320358421483552592
tension14774945012845106177231270340409
of19224945012875122
the20784945012844114177
leaflets,22904945012843106168215253316354409444
resulting27684945012852115169239277317355425495
in32984945012845114
the34484945012843114177
sound36594945012860129199270339
of40344945012874122
the41904945012844114177
opening44024945012874144207276315385455
snap48924945012860130193262
of51894945012875122
the53464945012843113175
mitral85151860128109146185233295334
valve.12215186012870132170241303338
It1594518601284685
occurs17155186012870131194264310364
0.07-0.1221145186012870105174245294363398467537
seconds26875186012853116178247318387442
after31645186012862108147210256
S2.34575186012878147182
Quail's120554270128101171234273311337392
Melody164954270128124185224294365435
or21185427012886133
Mitral230354270128125163202249310349
Stenosis26885427012894132195265335389428482
Melody.322254270128125187225296366435470
This372754270128102171211266
rhythm40285427012863134204242312422
is44835427012855110
associated46295427012878133187258320358421459522591
with525554270128118157196266
the8515669012839110172
appearance10595669012860131200263325372433504567628
of17225669012870117
the18745669012838108170
opening20785669012870141204273311382451
snap25655669012855124187256
of28565669012870116
the30075669012839109172
mitral321256690128109146186233295334
valve35825669012870132171241303
and39205669012862133202
includes:41575669012839109171209280350412467505
•12055911012849
loud,128959110128167238308377413
snapping17375911012854125186257326365435505
S1;22785911012878147187
•12056152012849
accentuation128961520128191253315378447486556619657696766836
and21616152012861131201
splitting23976152012855124162202240279318388459
or28916152012870118
doubling30426152012871141211280320358429499
of35756152012870117
S237276152012878147
over39096152012871140203249
the41946152012837108171
left44006152012837100147185
atrium;46206152012863102147186256366405
•12056393012849
opening128963930128199269331401440510580
snap19056393012853123186255
of21946393012870118
the23476393012839108171
mitral255163930128110146186233295334
valve.29216393012870133171241303338
The12056635012886155218
quail's14586635012870140203241280306359
melody185366350128109168207278349419
is2306663501283993
better24346635012870133172210273320
heard27876635012871133196242312
at31346635012862100
the32706635012839108171
apex34766635012862131193263
of37746635012871117
the39266635012839108171
heart.41326635012870132194241280315
Pendulum-Like12056877012878140211280351389459569613699738808871
Rhythm:211168770128141212282320389499535
Conditions268268770128141211282352390430468538608662
for33806877012894163210
its36246877012887126181
occurrence383968770128118180242312359405468537600662
include45366877012886155218256326396458
a502968770128110
sharp517368770128102172235281350
decrease8517118012870133195242304366420483
in13697118012846116
myocardial152871180128110179247310372419489529590629
tone.21937118012847117186249284
In25127118012855124
this26717118012847117156210
case,29177118012870133186249284
both32367118012877147186256
phases35277118012878148211264327380
of39437118012878125
cardiac41037118012869132179248287350411
activity45497118012871133172210281320358429
–50117118012883
systole51307118012863133186226296335397
and8517360012862133202
diastole10897360012887126189243282352391454
–15787360012887
are17017360012880127189
balanced19257360012887150188250320382445514
in24747360012857126
time.2636736001285795205265300
This297173600128104174213268
occurs32757360012886149211281328382
either36937360012880118156227289335
by40637360012888159
shortening42557360012872143214260298360431469539609
diastole49007360012887126188242281351390453
or53887360012886134
lengthening8517601012839102172242280351412483521592661
systole.15477601012879150203242312351413448
Both203076010128117187227296
S1236176010128103173
and25687601012887156227
S2283076010128102171
are30377601012887134195
weakened326676010128126188250320382452515584
and38857601012887157227
sonically41467601012880149219258320382422460531
equal47107601012887157228290329
to50737601012864134
each52427601012886148211280