GALLOP RHYTHM

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Abstract
The various types of diastolic heart sounds are reviewed. The factors influencing audibility are considered as well as mechanism of production and clinical significance. The simple unitarian concept of gallop rhythm has been superseded by a more complicated but more rational concept. Although relatively elaborate means are required for critical analysis, careful auscultation at the bedside will enable the physician to differentiate between various types of gallop sounds, and would appear to increase his efficiency as a diagnostician.