A gallop rhythm refers to a (usually abnormal) rhythm of the heart on auscultation. It includes three or four sounds, thus resembling the sounds of a gallop.
A gallop rhythm contains another sound, called S3 or S4, dependent upon where in the cycle this added sound comes.
It can also contain both of these sounds forming a quadruple gallop, and in situations of very fast heart rate can produce a summation gallop where S3 and S4 occur so close as to be indistinguishable.
Gallop rhythms may be associated with the following:
- Ventricular overload
- Sinus tachycardia
The atrium has to contract strongly to push the blood through the stiffened ventricle.
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- http://circ.ahajournals.org/content/20/6/1053.short - American Heart Assoc., Gallop Rhythm of the Heart
- Kuo PT, Schnabel TG, Blakemore WS, Whereat AF (1957). "Diastolic gallop sounds, the mechanism of production". J. Clin. Invest. 36 (7): 1035–42. doi:10.1172/JCI103499. PMC 1072690. PMID 13449156.