The third heart sound for diagnosis of acute heart failure

Johnston, Michael D.; Collins, Sean P.; Storrow, Alan B.

doi:10.1007/s11897-007-0036-z

Cited by 12 publications

(4 citation statements)

References 61 publications

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“…Rales may not be present on the pulmonary exam if filling pressures are chronically elevated [ 5 ]. Third heart sounds are heard in fewer than half of patients [ 6 ]. The initial urgent examination may not include careful location of the jugular venous pulsations.…”

Section: Discussionmentioning

confidence: 99%

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Easily Missed: A Case Series of New Heart Failure in Young Adults

Hall

Menachem

Stevenson

et al. 2020

Case Reports in Medicine

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Background. While uncommon, heart failure (HF) can present in young adults from a variety of causes. Identifying HF in a young patient presents many challenges, the foremost of which is recognition of the signs and symptoms of HF. Case Summary. We present four cases of new diagnosis of HF (due to familial cardiomyopathy, tachycardia-induced cardiomyopathy, spontaneous coronary artery dissection, and peripartum cardiomyopathy) to highlight the range of etiologies and presentations requiring recognition in this patient population. Discussion. A high index of suspicion is needed to diagnose HF in young adults, who may not present with classic signs and symptoms. Young adults represent a unique patient population that differs from the older patients with HF. Young adults with newly diagnosed HF should be promptly referred to a center offering full diagnostic capabilities and advanced cardiac therapies.

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Section: Discussionmentioning

confidence: 99%

“…Rales may not be present on the pulmonary exam if filling pressures are chronically elevated [5]. ird heart sounds are heard in fewer than half of patients [6].…”

Section: Discussionmentioning

confidence: 99%

Easily Missed: A Case Series of New Heart Failure in Young Adults

Hall

Menachem

Stevenson

et al. 2020

Case Reports in Medicine

View full text Add to dashboard Cite

show abstract

“…However, if coronary heart diseases results in left ventricular dysfunction either acute or chronic leading to a poor ejection fraction. In addition Johnston et al (2007) [45] reported that S4 may be detected in the early phases of acute ischemia and acute myocardial infarction.…”

Section: Discussionmentioning

confidence: 99%

Effect of Implementing Clinical Pathway Guidelines on Patients' Clinical Outcomes with Acute Coronary Syndrome

Ahmed¹

2017

AJNS

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Acute coronary syndrome refers to a range of potentially life-threatening conditions that affect the coronary artery blood supply to the heart. It is associated with increased patient mortality, length of hospital stay and health care costs. Clinical pathways are now one of the main tools that used to manage the quality in healthcare concerning the standardization of care processes. Hence, the aim of this study is to evaluate the effect of implementing a clinical pathway guideline on the clinical outcomes of patients with acute coronary syndrome. A quasi experimental research design was utilized in this study and it was conducted on 60 adult patients at the Cardiac Intensive Care Unit of Tanta University Hospital. The patients were divided into two groups (control and study group) 30 patients in each. The control group: non-clinical pathway group involved patients receiving the routine management regimen while the study group: clinical pathway group (CP group) involved patients who received management according to the clinical pathway guidelines. The findings of this study revealed that a significant changes among control and study group from admission to discharge regarding mean scores of body temperature, Pulse and respiration rate where P<0.05. There was significant increased mean score of central venous pressure among control group compared to study group on admission, after 2 hrs and on 2 nd day of admission with P=0.013, 0.007 and 0.001, respectively. The present study showed that low percentages (20.0 %) of control group had cardiogenic shock compared to none patient in the study group with a significant difference between two groups, where P=0.012. Insignificant difference was observed between control and study group regarding duration of stay in ICU and status of patients on discharge with P=0.075 and 0.206. Also it was noticed that the level of reduction of the mean of Hamilton Anxiety Score in the study group was higher than its level in the control group on discharge. It can be concluded that the established pathway achieved its goal of, improving physiological parameters and decreasing patient's complications, length of stay, and anxiety levels. Based on the findings of this study, the following recommendations are suggested; clinical pathway should be implemented routinely for patients with acute coronary syndrome. Integrating ACS clinical pathway into plan of care to replace the traditional nursing care plan.

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“…In contrast with S1, it has characteristics of high tune and short time lasted. S1 and S2 contain important information of cardiac sounds auscultation [3].…”

Section: Introductionmentioning

confidence: 99%

Review on Heart Sound Analysis Technique

Monali¹,

Aparana²

2013

Proceedings of International Conference on Internet Computing and Information Communications

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Heart auscultation (the interpretation by a physician of heart sounds) is a fundamental activity of cardiac diagnosis. It is, however, a difficult skill to acquire. So it would be convenient to diagnosis the failure using some monitoring techniques. This paper reviews different signal processing technique for analyzing Heart Sound (HS) Vibration signals which is mainly used to diagnose these diseases. Conventional methods for fault diagnosis are mainly based on observing the amplitude differences in time or frequency domain such as Fourier Transform (FT), Short Time Fourier Transform (STFT), and Wavelet transform. This paper includes Spectral analysis method of heart sound by using autoregressive power spectral density (AR-PSD) for discriminating normal and abnormal HS, another method to diagnose heart sound such as Wavelet packet analysis and classifiers like Hidden Markov Model (HMM), Artificial Neural Network (ANN).

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The third heart sound for diagnosis of acute heart failure

Cited by 12 publications

References 61 publications

Easily Missed: A Case Series of New Heart Failure in Young Adults

Easily Missed: A Case Series of New Heart Failure in Young Adults

Effect of Implementing Clinical Pathway Guidelines on Patients' Clinical Outcomes with Acute Coronary Syndrome

Review on Heart Sound Analysis Technique

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The third heart sound for diagnosis of acute heart failure

Cited by 12 publications

References 61 publications

Easily Missed: A Case Series of New Heart Failure in Young Adults

Easily Missed: A Case Series of New Heart Failure in Young Adults

Effect of Implementing Clinical Pathway Guidelines on Patients&apos; Clinical Outcomes with Acute Coronary Syndrome

Review on Heart Sound Analysis Technique

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Product

Resources

About

Effect of Implementing Clinical Pathway Guidelines on Patients' Clinical Outcomes with Acute Coronary Syndrome