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The S4 heart sound (aka an "atrial gallop") is heard late in diastole, occurring during the atrial filling phase and coincides with the p-wave on an electrocardiogram (atrial systole). Get the #Auscultate Medical Sound App: https://www.medzcool.com/auscultate ----------------------------------------------- // STETHOSCOPES Tried and tested by our team - here are the ones we recommend Best Overall - Littmann Classic III - https://amzn.to/2VL8e27 For Professionals - Littmann Cardiology IV - https://amzn.to/3aerc6m Entry-level or Budget - https://amzn.to/2z6fYnB ----------------------------------------------- // RELATED VIDEOS S3 and S4 Gallop - • S3 and S4 Gallop - Heart Sounds - MED... Normal Heart Sounds: • Normal Heart Sounds - MEDZCOOL ----------------------------------------------- // FOLLOW US Facebook: / medzcooleducation Instagram: / medzcool Twitter: / medzcool ----------------------------------------------- // DISCLAIMER This video is intended to be viewed by medical professionals and healthcare providers and used for educational purposes only and should not guide medical decision making. // DISCLOSURE Some of the links above are affiliate links, and at no additional cost to you, Medzcool will earn a commission if you decide to make a purchase after clicking through the link. Please understand that our team members have used all these products, and recommend them because they are helpful and useful, not because of the small commissions we make if you decide to buy something through the affiliate links. Please do not spend any money on these products unless you feel you need them or that they will help you achieve your goals.