What does ventricular hypertrophy sound like on the stethoscope?

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What does ventricular hypertrophy sound like on the stethoscope?

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sometimes you can hear an S4. Which is the sound of diastolic dysfunction, usually caused by the rattle of a noncompliant ventricular wall during diastolic filling.

ventricular hypertrophy by itself, however, has no distinct sound.

If you have ventricular enlargement (cardiomyopathy), which frequently has ventricular hypertrophy associated with it...you can have an S3 and a displaced PMI as well. The S3 is the sound of blood dumping from the atrium into the pool of blood left in the ventricle.

It's like taking a bucket of water an dumping it into a pool.
 
in case youve gotten it back to front again...

the auscultation of HOCM reveals a crescendo-decrescendo systolic murmur at the apex which increases when the patient stands, and decreases when they squat down, due to the respective changes in venous return.
 
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