Is it possible to keep your hand on your heart or rib cage to hear the third heart sound (s3) or is it possible via the bell of the stethoscope only?

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Is it possible to keep your hand on your heart or rib cage to hear the third heart sound (s3) or is it possible via the bell of the stethoscope only?

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Anonymous 0 Comments

Tldr: no

S3 is super rare to hear in the first place. You either have to be pregnant, a child, or a high class athlete to be able for it it be heard. Otherwise it’s a low frequency humming sound that’s difficult to hear through a stethoscope by untrained ears. This is because it’s when the ventricles are passively filling with blood so there’s a few things that make finding this sound difficult. First is that it’s pretty quiet. Second, most people have a resting heart rate between 60-100. The lower the heart rate is, hypothetically, you’ll have more time to hear the sounds, but that’s not actually true. There’s more time between the beats, but it doesn’t slow the beat down. So the time from beat 1 to beat 2 is lengthened, but S1-S2-S3 time frame stays the same.

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