NSG-530-IKC – Advanced Pathophysiology – S3 heart
sound /Gallop Discussion Essays
NSG-530-IKC – Advanced Pathophysiology – S3
heart sound /Gallop Discussion Essays Module 4:
Discussion
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, Mrs. K is a 60-year-old white female who presented to the ER with complaints of her heart “beating out of my chest.” She is
complaining that she is having increased episodes of shortness of breath over the last month and in fact has to sleep on 4
pillows. She also notes that the typical swelling she’s had in her ankles for years has started to get worse over the past two
months, making it especially difficult to get her shoes on toward the end of the day. In the past week, she’s been experiencing
fatigue and decreased urine output. Her past history is positive for an acute anterior wall myocardial infarction and coronary
artery bypass surgery. She was a 2 pack a day smoker, but quit 8 years ago NSG-530-IKC – Advanced Pathophysiology – S3
heart sound /Gallop Discussion Essays.
On physical examination, auscultation of the heart revealed a rumbling S3 gallop and inspiratory crackles. She has +3 edema
of the lower extremities.
1. Discuss the pathophysiology of an S3 heart sound and include causes for an S3 gallop?
Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight.
Both responses must be a minimum of 150 words, scholarly written, APA formatted, and referenced. A
minimum of 2 references are required (other than your text). Refer to grading rubric for online discussion.
Feedback
Giselle, thank you for your thorough response. I hope you are enjoying the course so far.
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Mod 4 S3 Heart Sound/S3 GallopSubscribe
Candice Russell posted Feb 9, 2021
3:39 PM Contains unread posts
“The heart is the organ that pumps blood with oxygen and nutrients into all the body organs by a
rhythmic cycle overlapping between contraction and dilation” (Bourouhou et al., 2020, p. 64). Dwivedi et al. (2019)
state “electrical activity of the cardiovascular system causes atrial and ventricular contractions that assist in blood
circulation between the chambers of the heart and around the body” (p. 8318) “Mechanical interactions between the
blood flow and the different valves that operate to regulate the circulation of blood, contribute to rhythmic heart
sounds and murmurs” (Dwivedi et al., 2019, p. 8318). The term gallop describes the cadence of the three heart
sounds occurring in a rapid succession. Jean-Baptiste Bouillaud coined the term “gallop rhythm”. His pupil, Pierre
Potain stated, “In addition to the two normal sounds, this burit completes the triple rhythm of the heart… this is the
bruit de gallop” (Silverman 1990, as cited by Ramani & Weber, 2017). Pathological ventricular dysfunction during a
third heart sound, the term gallop is used. S3 gallop is thought to occur “in the presence of volume overload and
ventricular dysfunction when rapid filling phase ends abruptly” (Talley & O’Connor. 2013, as cited by Ramani &
Weber, 2017). Symptoms reported by Mrs. K, she appears to be suffering from CHF, left-sided. Reference Shono,
A., Mori, S., Yatomi, A., Kamio, T., Sakai, J., Soga, F., Tanaka, H., & Hirata, K. I. (2019). Ultimate Third Heart Sound.
Internal medicine (Tokyo, Japan), 58(17), 2535–2538. https://doi.org/10.2169/internalmedicine.273119
less1 UnreadUnread6 Views Views
6 NSG-530-IKC – Advanced Pathophysiology – S3 heart sound /Gallop Discussion Essays
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View profile card for Caroline Otto
Last post February 15 at 2:21 AM by Caroline Otto
Ramani, S. and Weber, B.N. (2017), Detecting the gallop: the third heart sound and its significance. Medical
Journal of Australia, 206: 198-199. https://doi-org.wilkes.idm.oclc.org/10.5694/mja16.00613
Pechetty, R., & Nemani, L. (2020). Additional Heart Sounds-Part 1 (Third and Fourth Heart Sounds). Indian Journal
of
sound /Gallop Discussion Essays
NSG-530-IKC – Advanced Pathophysiology – S3
heart sound /Gallop Discussion Essays Module 4:
Discussion
Must post first.
Subscribe
, Mrs. K is a 60-year-old white female who presented to the ER with complaints of her heart “beating out of my chest.” She is
complaining that she is having increased episodes of shortness of breath over the last month and in fact has to sleep on 4
pillows. She also notes that the typical swelling she’s had in her ankles for years has started to get worse over the past two
months, making it especially difficult to get her shoes on toward the end of the day. In the past week, she’s been experiencing
fatigue and decreased urine output. Her past history is positive for an acute anterior wall myocardial infarction and coronary
artery bypass surgery. She was a 2 pack a day smoker, but quit 8 years ago NSG-530-IKC – Advanced Pathophysiology – S3
heart sound /Gallop Discussion Essays.
On physical examination, auscultation of the heart revealed a rumbling S3 gallop and inspiratory crackles. She has +3 edema
of the lower extremities.
1. Discuss the pathophysiology of an S3 heart sound and include causes for an S3 gallop?
Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight.
Both responses must be a minimum of 150 words, scholarly written, APA formatted, and referenced. A
minimum of 2 references are required (other than your text). Refer to grading rubric for online discussion.
Feedback
Giselle, thank you for your thorough response. I hope you are enjoying the course so far.
View Graded Rubric
Start a New Thread
Discussion
Filter by:
All
Threads
Sort by:
Most Recent Activity Least Recent Activity Newest Thread Oldest Thread Author First Name A-Z Author First Name Z-A
Author Last Name A-Z Author Last Name Z-A Subject A-Z Subject Z-A
Mod 4 S3 Heart Sound/S3 GallopSubscribe
Candice Russell posted Feb 9, 2021
3:39 PM Contains unread posts
“The heart is the organ that pumps blood with oxygen and nutrients into all the body organs by a
rhythmic cycle overlapping between contraction and dilation” (Bourouhou et al., 2020, p. 64). Dwivedi et al. (2019)
state “electrical activity of the cardiovascular system causes atrial and ventricular contractions that assist in blood
circulation between the chambers of the heart and around the body” (p. 8318) “Mechanical interactions between the
blood flow and the different valves that operate to regulate the circulation of blood, contribute to rhythmic heart
sounds and murmurs” (Dwivedi et al., 2019, p. 8318). The term gallop describes the cadence of the three heart
sounds occurring in a rapid succession. Jean-Baptiste Bouillaud coined the term “gallop rhythm”. His pupil, Pierre
Potain stated, “In addition to the two normal sounds, this burit completes the triple rhythm of the heart… this is the
bruit de gallop” (Silverman 1990, as cited by Ramani & Weber, 2017). Pathological ventricular dysfunction during a
third heart sound, the term gallop is used. S3 gallop is thought to occur “in the presence of volume overload and
ventricular dysfunction when rapid filling phase ends abruptly” (Talley & O’Connor. 2013, as cited by Ramani &
Weber, 2017). Symptoms reported by Mrs. K, she appears to be suffering from CHF, left-sided. Reference Shono,
A., Mori, S., Yatomi, A., Kamio, T., Sakai, J., Soga, F., Tanaka, H., & Hirata, K. I. (2019). Ultimate Third Heart Sound.
Internal medicine (Tokyo, Japan), 58(17), 2535–2538. https://doi.org/10.2169/internalmedicine.273119
less1 UnreadUnread6 Views Views
6 NSG-530-IKC – Advanced Pathophysiology – S3 heart sound /Gallop Discussion Essays
1
1 RepliesReplies
1
View profile card for Caroline Otto
Last post February 15 at 2:21 AM by Caroline Otto
Ramani, S. and Weber, B.N. (2017), Detecting the gallop: the third heart sound and its significance. Medical
Journal of Australia, 206: 198-199. https://doi-org.wilkes.idm.oclc.org/10.5694/mja16.00613
Pechetty, R., & Nemani, L. (2020). Additional Heart Sounds-Part 1 (Third and Fourth Heart Sounds). Indian Journal
of
