65-year-old patient presenting progressive dyspnea of 5 days of evolution until becoming resting, three-pillow orthopnea and episodes of paroxysmal nocturnal dyspnea. Auscultation highlights bilateral crackles, holosystolic murmur radiating to the axilla and gallop rhythm for the third and fourth sounds. Mark the CORRECT statement:
The fourth noise usually appears when there is a certain degree of valvular stenosis.
The third noise coincides with the rapid filling phase of the ventricular diastole of the cardiac cycle.
The most likely diagnosis is heart failure.
The holosystolic murmur may correspond to mitral insufficiency.
The fourth noise usually appears when there is a certain degree of valvular stenosis.
The fourth noise usually appears when there is a certain degree of valvular stenosis.