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Chest, Vol 85, 127-127, Copyright © 1984 by American College of Chest Physicians

ARTICLES

Another confusing click. A prosthetic fourth heart sound

P Bloomfield and AF Parisi

A combined phonocardiographic and echocardiographic evaluation is presented of a patient with a mechanical prosthetic mitral valve. An intermittent sound equivalent to a prosthetic fourth sound is demonstrated and shown to be created by abrupt motion of the disc of the prosthesis with atrial systole.




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Copyright © 1984 by the American College of Chest Physicians.