CAL: Heart sounds Flashcards

1
Q

Define S1

A

onset of systole and is heard at the time of AV valve closure and the onset of ventricular con-traction

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2
Q

Define S2

A

end of systole and is heard at the time of outflow valve closure

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3
Q

Define S3

A

rapid passive filling phase of the ventricles

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4
Q

Define S4

A

phase of active ventricular filling

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5
Q

What is heard normally in horses?

A

three or four of the normal heart sounds are audible at lower heart rates

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6
Q

What is heard normally in the dog and cat?

A

first two heart sounds S1 and S2 only

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7
Q

Is a gallop rhythm in cats and dogs always abnormal?

A

Yes

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8
Q

When does a late diastolic murmur occur?

A

An additional sound, just prior to S1

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9
Q

When does an early diastolic decrescendo murmur occur?

A

Follows the end of S2.

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10
Q

T/F: loud systolic murmurs in the dog can drown out the normal heart sounds.

A

True

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11
Q

When is a continuous murmur most intense in the dog?

A

Most intense in systole

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12
Q

In horses, what is a diastolic murmur characteristic of?

A

aortic regurgitation

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13
Q

T/F: borborygmi are sometimes audible in the background when auscultating a horse

A

True

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14
Q

Describe a normal canine heart rhythm.

A

Not normaly regular. Dogs tend to have a rhythm that is regularly irregular and is known as sinus arrhythmia. Here groups of beats come in regular cycles with slowing of the rate between and is quite normal.

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15
Q

T/F: horses normally have regular rhythms.

A

False - horses regularly have irregular rhythms

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16
Q

Describe 2nd degree AV block

A

There is one pause between beats that is longer than the others. The underlying rhythm however is regular. The pause contains an isolated (barely audible) S4 and this is indicative of second degree AV block. This is a physiological rhythm in horses.

17
Q

What is often true of the individual beats in a premature complex?

A

The first heart sound is generally much louder than the second heart sound.

18
Q

What happens during sinus arrhythmia (canine)?

A

During inhalation, feedback from the respiratory and cardiac centers produce cardiac acceleration by decreasing restraints on the vagus nerves; the opposite occurs during exhalation.