Linked Life Data

9087631

Source:http://linkedlifedata.com/resource/pubmed/id/9087631

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3 Pt 2
pubmed:dateCreated
1997-4-28
pubmed:abstractText
The fourth heart sound (S4) is thought to be due to cardiohemic vibrations, powered by deceleration of transmitral blood flow, that occur when atrial systole leads to a disproportionately high rise in ventricular end-diastolic pressure (relative to diastasis), associated with an enhanced atrial systolic blood filling volume or a stiff ventricular wall. To characterize S4 production, we modeled the cardiohemic system as a forced, damped nonlinear harmonic oscillator. The forcing term used a closed-form expression for the Doppler A-wave contour. We simultaneously recorded transthoracic phonocardiograms and Doppler A waves in subjects with and without audible S4 and compared model predictions for S4 amplitude, frequency, and power spectrum with those of the recorded S4. Excellent agreement was observed between the model-predicted amplitude, duration, timing, and power spectrum and those of the phonocardiographic S4. We conclude that, with a normal mitral valve, there should always be an oscillation of the cardiohemic system during A-wave deceleration. However, oscillations may not have high enough amplitude, frequency, or coupling to the chest wall to be clinically audible as an S4.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0002-9513
pubmed:author
pubmed:issnType
Print
pubmed:volume
272
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
H1527-36
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1997
pubmed:articleTitle
Relationship of the fourth heart sound to atrial systolic transmitral flow deceleration.
pubmed:affiliation
Cardiovascular Biophysics Laboratory, Washington University Medical Center, St. Louis, Missouri 63110, USA.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't