NCIt definition : An auscultated finding that describes a low-frequency sound, heard late in diastole
just before S1, caused by forceful atrial contractions, signifying the fourth heart
sound. It is typically abnormal, except in highly trained athletes and the elderly.
(ACC/AHA);
Alternative definition : ACC/AHA: An auscultated finding that describes a low-frequency sound, heard late in
diastole just before S1, caused by forceful atrial contractions, signifying the fourth
heart sound. It is typically abnormal, except in highly trained athletes and the elderly.; ACC/AHA: Presence of a fourth (late-diastolic) heart sound.;