Ultimate Third Heart Sound
A 79-year-old man with dilated cardiomyopathy and severe functional mitral regurgitation presented with general fatigue and dyspnea. Auscultation revealed a systolic regurgitant murmur with a minimized second heart sound due to a low output. On the other hand, the third heart sound was ultimately en...
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| Veröffentlicht in: | Internal Medicine 2019/09/01, Vol.58(17), pp.2535-2538 |
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| container_title | Internal Medicine |
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| creator | Shono, Ayu Mori, Shumpei Yatomi, Atsusuke Kamio, Tsubasa Sakai, Jun Soga, Fumitaka Tanaka, Hidekazu Hirata, Ken-ichi |
| description | A 79-year-old man with dilated cardiomyopathy and severe functional mitral regurgitation presented with general fatigue and dyspnea. Auscultation revealed a systolic regurgitant murmur with a minimized second heart sound due to a low output. On the other hand, the third heart sound was ultimately enhanced, being visible and palpable as a pulsatile knock of the precordium. Phonocardiography and echocardiography successfully confirmed early-diastolic rapid distension of the left ventricle along with rapid ventricular filling and abrupt deceleration of the atrioventricular blood flow to be the precise etiology of the ultimate third heart sound, indicating critically deteriorated hemodynamics due to massive mitral regurgitation combined with a low output. |
| doi_str_mv | 10.2169/internalmedicine.2731-19 |
| format | Article |
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Auscultation revealed a systolic regurgitant murmur with a minimized second heart sound due to a low output. On the other hand, the third heart sound was ultimately enhanced, being visible and palpable as a pulsatile knock of the precordium. Phonocardiography and echocardiography successfully confirmed early-diastolic rapid distension of the left ventricle along with rapid ventricular filling and abrupt deceleration of the atrioventricular blood flow to be the precise etiology of the ultimate third heart sound, indicating critically deteriorated hemodynamics due to massive mitral regurgitation combined with a low output.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.2731-19</identifier><identifier>PMID: 31118397</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Aged ; Blood flow ; Cardiac Output, Low - physiopathology ; Cardiomyopathy ; Cardiomyopathy, Dilated - physiopathology ; Case Report ; Deceleration ; Dilated cardiomyopathy ; Distension ; Dyspnea ; Dyspnea - etiology ; Echocardiography ; Electrocardiography ; Etiology ; Fatigue - etiology ; Heart ; Heart Auscultation ; Heart Sounds - physiology ; Hemodynamics ; Hemodynamics - physiology ; Humans ; Internal medicine ; Male ; mitral regurgitation ; Mitral Valve Insufficiency - physiopathology ; Phonocardiography ; Regurgitation ; Respiration ; Second heart sound ; Sound ; third heart sound ; Ventricle ; Ventricular Dysfunction, Left - physiopathology</subject><ispartof>Internal Medicine, 2019/09/01, Vol.58(17), pp.2535-2538</ispartof><rights>2019 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2019</rights><rights>Copyright © 2019 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c667t-ed11780ad057ea8a4d4e4ffd96b9e25441788ad5ce9f85ce81b63f025e83956e3</citedby><cites>FETCH-LOGICAL-c667t-ed11780ad057ea8a4d4e4ffd96b9e25441788ad5ce9f85ce81b63f025e83956e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761354/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761354/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,1883,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31118397$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shono, Ayu</creatorcontrib><creatorcontrib>Mori, Shumpei</creatorcontrib><creatorcontrib>Yatomi, Atsusuke</creatorcontrib><creatorcontrib>Kamio, Tsubasa</creatorcontrib><creatorcontrib>Sakai, Jun</creatorcontrib><creatorcontrib>Soga, Fumitaka</creatorcontrib><creatorcontrib>Tanaka, Hidekazu</creatorcontrib><creatorcontrib>Hirata, Ken-ichi</creatorcontrib><title>Ultimate Third Heart Sound</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>A 79-year-old man with dilated cardiomyopathy and severe functional mitral regurgitation presented with general fatigue and dyspnea. Auscultation revealed a systolic regurgitant murmur with a minimized second heart sound due to a low output. On the other hand, the third heart sound was ultimately enhanced, being visible and palpable as a pulsatile knock of the precordium. Phonocardiography and echocardiography successfully confirmed early-diastolic rapid distension of the left ventricle along with rapid ventricular filling and abrupt deceleration of the atrioventricular blood flow to be the precise etiology of the ultimate third heart sound, indicating critically deteriorated hemodynamics due to massive mitral regurgitation combined with a low output.</description><subject>Aged</subject><subject>Blood flow</subject><subject>Cardiac Output, Low - physiopathology</subject><subject>Cardiomyopathy</subject><subject>Cardiomyopathy, Dilated - physiopathology</subject><subject>Case Report</subject><subject>Deceleration</subject><subject>Dilated cardiomyopathy</subject><subject>Distension</subject><subject>Dyspnea</subject><subject>Dyspnea - etiology</subject><subject>Echocardiography</subject><subject>Electrocardiography</subject><subject>Etiology</subject><subject>Fatigue - etiology</subject><subject>Heart</subject><subject>Heart Auscultation</subject><subject>Heart Sounds - physiology</subject><subject>Hemodynamics</subject><subject>Hemodynamics - physiology</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Male</subject><subject>mitral regurgitation</subject><subject>Mitral Valve Insufficiency - physiopathology</subject><subject>Phonocardiography</subject><subject>Regurgitation</subject><subject>Respiration</subject><subject>Second heart sound</subject><subject>Sound</subject><subject>third heart sound</subject><subject>Ventricle</subject><subject>Ventricular Dysfunction, Left - physiopathology</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkctOwzAQRS0EoqXwAyxQJDZsUvyIY3uDhCqgSJW6oF1bbjJpXaVJsRMk_h5HLRGPzfVizlzfmUEoInhMSarubdWAq0y5g9xmtoIxFYzERJ2gIWGJigVl_BQNsSIypkEG6ML7LcZMCkXP0YARQiRTYoiul2Vjd6aBaLGxLo-mYFwTvdVtlV-is8KUHq6O7wgtn58Wk2k8m7-8Th5ncZamookhJ0RIbHLMBRhpkjyBpChyla4UUJ4koSpNzjNQhQwqySplBaYcQgKeAhuhh4Pvvl2FgTKoGmdKvXchl_vUtbH6d6WyG72uP3QqUsJ4Egzujgaufm_BN3pnfQZlaSqoW68pZRQrzjgL6O0fdFu33SY7SmEphFI4UPJAZa723kHRhyFYdwfQfw-guwNookLrzc9h-sbvjQdgfgC2vjFr6IGwdpuV8N-ZS01Ep8cvejLbGKehYl_jCqMx</recordid><startdate>20190901</startdate><enddate>20190901</enddate><creator>Shono, Ayu</creator><creator>Mori, Shumpei</creator><creator>Yatomi, Atsusuke</creator><creator>Kamio, Tsubasa</creator><creator>Sakai, Jun</creator><creator>Soga, Fumitaka</creator><creator>Tanaka, Hidekazu</creator><creator>Hirata, Ken-ichi</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190901</creationdate><title>Ultimate Third Heart Sound</title><author>Shono, Ayu ; Mori, Shumpei ; Yatomi, Atsusuke ; Kamio, Tsubasa ; Sakai, Jun ; Soga, Fumitaka ; Tanaka, Hidekazu ; Hirata, Ken-ichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c667t-ed11780ad057ea8a4d4e4ffd96b9e25441788ad5ce9f85ce81b63f025e83956e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Blood flow</topic><topic>Cardiac Output, Low - physiopathology</topic><topic>Cardiomyopathy</topic><topic>Cardiomyopathy, Dilated - physiopathology</topic><topic>Case Report</topic><topic>Deceleration</topic><topic>Dilated cardiomyopathy</topic><topic>Distension</topic><topic>Dyspnea</topic><topic>Dyspnea - etiology</topic><topic>Echocardiography</topic><topic>Electrocardiography</topic><topic>Etiology</topic><topic>Fatigue - etiology</topic><topic>Heart</topic><topic>Heart Auscultation</topic><topic>Heart Sounds - physiology</topic><topic>Hemodynamics</topic><topic>Hemodynamics - physiology</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Male</topic><topic>mitral regurgitation</topic><topic>Mitral Valve Insufficiency - physiopathology</topic><topic>Phonocardiography</topic><topic>Regurgitation</topic><topic>Respiration</topic><topic>Second heart sound</topic><topic>Sound</topic><topic>third heart sound</topic><topic>Ventricle</topic><topic>Ventricular Dysfunction, Left - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shono, Ayu</creatorcontrib><creatorcontrib>Mori, Shumpei</creatorcontrib><creatorcontrib>Yatomi, Atsusuke</creatorcontrib><creatorcontrib>Kamio, Tsubasa</creatorcontrib><creatorcontrib>Sakai, Jun</creatorcontrib><creatorcontrib>Soga, Fumitaka</creatorcontrib><creatorcontrib>Tanaka, Hidekazu</creatorcontrib><creatorcontrib>Hirata, Ken-ichi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shono, Ayu</au><au>Mori, Shumpei</au><au>Yatomi, Atsusuke</au><au>Kamio, Tsubasa</au><au>Sakai, Jun</au><au>Soga, Fumitaka</au><au>Tanaka, Hidekazu</au><au>Hirata, Ken-ichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ultimate Third Heart Sound</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2019-09-01</date><risdate>2019</risdate><volume>58</volume><issue>17</issue><spage>2535</spage><epage>2538</epage><pages>2535-2538</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A 79-year-old man with dilated cardiomyopathy and severe functional mitral regurgitation presented with general fatigue and dyspnea. Auscultation revealed a systolic regurgitant murmur with a minimized second heart sound due to a low output. On the other hand, the third heart sound was ultimately enhanced, being visible and palpable as a pulsatile knock of the precordium. Phonocardiography and echocardiography successfully confirmed early-diastolic rapid distension of the left ventricle along with rapid ventricular filling and abrupt deceleration of the atrioventricular blood flow to be the precise etiology of the ultimate third heart sound, indicating critically deteriorated hemodynamics due to massive mitral regurgitation combined with a low output.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>31118397</pmid><doi>10.2169/internalmedicine.2731-19</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Blood flow Cardiac Output, Low - physiopathology Cardiomyopathy Cardiomyopathy, Dilated - physiopathology Case Report Deceleration Dilated cardiomyopathy Distension Dyspnea Dyspnea - etiology Echocardiography Electrocardiography Etiology Fatigue - etiology Heart Heart Auscultation Heart Sounds - physiology Hemodynamics Hemodynamics - physiology Humans Internal medicine Male mitral regurgitation Mitral Valve Insufficiency - physiopathology Phonocardiography Regurgitation Respiration Second heart sound Sound third heart sound Ventricle Ventricular Dysfunction, Left - physiopathology |
| title | Ultimate Third Heart Sound |
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