Nursing CEUs Online - No Test Required | …
The S4 heart sound is present in patients with diastolic heart failure.10,20,75 The left ventricular systolic dysfunction, sustained, diffuse and displaced, impulse is found.3 In addition to these findings murmurs for mitral and tricuspid valve regurgitation are often noted in advanced heart failure.3,20 A pan systolic murmur is found at the ... ................
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