Document Detail

The third heart sound for diagnosis of acute heart failure.
MedLine Citation:
PMID:  17883993     Owner:  NLM     Status:  MEDLINE    
Dyspnea is a common presenting complaint in the emergency department (ED). Rapid identification of heart failure as the etiology leads to early implementation of targeted therapies. Although having only intermediate sensitivity, the S3 is a highly specific finding among older adults with heart failure. Identification of an S3 by routine auscultation can be problematic given the chaotic and noisy ED environment, patient comorbid conditions, and intolerance of ideal positioning for auscultation. Technologies using computerized analysis of digitally recorded heart tones have recently been developed to aid the clinician with bedside detection of abnormal heart sounds. Data using these technologies and their applications in the ED are reviewed as well as implications for future use and research.
Michael Johnston; Sean P Collins; Alan B Storrow
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current heart failure reports     Volume:  4     ISSN:  1546-9530     ISO Abbreviation:  Curr Heart Fail Rep     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-09-21     Completed Date:  2007-12-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101196487     Medline TA:  Curr Heart Fail Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  164-8     Citation Subset:  IM    
Vanderbilt University Medical Center, 703 Oxford House, 1313 21st Avenue, South, Nashville, TN 37232-4700, USA.
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MeSH Terms
Acute Disease
Diagnosis, Differential
Dyspnea, Paroxysmal / diagnosis*,  physiopathology
Heart Auscultation
Heart Sounds / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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