What are summation gallops? At a heart rate of 120 beats per minute, the diastolic period is shortened. This causes the third and fourth sounds to be superimposed, creating a single loud sound.
The anatomy video shows an enlarged left ventricle with decreased left ventricular contractility and a minimally enlarged left atrium.
Summation Gallop at 120 beats per minute Audio
Summation Gallop at 120 beats per minute Sounds
Half Speed Summation Gallop at 120 beats per minute Sounds
Technique
The patient's position should be supine.
Auscultation Tips for Summation Gallop at 120 beats per minute
Diastole:Shortened diastole, S3 & S4 superimposedSound Wave
Summation Gallop at 120 beats per minute Video
The cardiac animation shows an enlarged left ventricle with decreased left ventricular contractility and a minimally enlarged left atrium.
Authors and Sources
Authors and Reviewers
- EKG heart rhythm modules: Thomas O'Brien.
- EKG monitor simulation developer: Steve Collmann
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12 Lead Course: Dr. Michael Mazzini, MD.
- Spanish language EKG: Breena R. Taira, MD, MPH
- Medical review: Dr. Jonathan Keroes, MD
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Heart sounds and mentorship: W. Proctor Harvey, MD
- Medical review: Dr. Pedro Azevedo, MD, Cardiology
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Last Update: 1/8/2023
Sources
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Electrocardiography for Healthcare Professionals, 5th Edition
Kathryn Booth and Thomas O'Brien
ISBN10: 1260064778, ISBN13: 9781260064773
McGraw Hill, 2019 -
Rapid Interpretation of EKG's, Sixth Edition
Dale Dublin
Cover Publishing Company -
12 Lead EKG for Nurses: Simple Steps to Interpret Rhythms, Arrhythmias, Blocks, Hypertrophy, Infarcts, & Cardiac Drugs
Aaron Reed
Create Space Independent Publishing -
Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
Elsevier-Health Sciences Division
Barbara A. Erickson, PhD, RN, CCRN - Clinical Heart Disease
W Proctor Harvey, MD
Clinical Heart Disease
Laennec Publishing; 1st edition (January 1, 2009) -
The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds, Murmurs, EKG
Jonathan Keroes, David Lieberman
Publisher: Lippincott Williams & Wilkin)
ISBN-10: 0781784425; ISBN-13: 978-0781784429 - Project Semilla, UCLA Emergency Medicine, EKG Training Breena R. Taira, MD, MPH
Summation Gallop at 120 beats per minute | #87
