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An auscultatory gap, also known as the silent gap, [1] is a period of diminished or absent Korotkoff sounds during the manual measurement of blood pressure. It is associated with peripheral blood flow caused by changes in the pulse wave. [ 2 ]
Korotkoff sounds are the sounds that medical personnel listen for when they are taking blood pressure using a non-invasive procedure. They are named after Nikolai Korotkov , a Russian physician who discovered them in 1905, [ 1 ] when he was working at the Imperial Medical Academy in St. Petersburg , the Russian Empire.
auscultatory sphygmomanometry: Korotkov described 5 sounds. Only the first (the onset of audible sound, and corresponding to systolic pressure) and the fifth (sound becomes inaudible, corresponding to diastolic pressure) are of practical clinical significance (however, see:Auscultatory gap) Kussmaul breathing [5] Adolph Kussmaul: endocrinology
The rate of mean blood flow depends on both blood pressure and the resistance to flow presented by the blood vessels. In the absence of hydrostatic effects (e.g. standing), mean blood pressure decreases as the circulating blood moves away from the heart through arteries and capillaries due to viscous losses of energy.
Meaning Origin language and etymology Example(s) a-, an-not, without (alpha privative) Greek ἀ-/ἀν-(a-/an-), not, without analgesic, apathy, anencephaly: ab-from; away from Latin abduction, abdomen: abdomin-of or relating to the abdomen: Latin abdōmen, abdomen, fat around the belly abdomen, abdominal -ac: pertaining to; one afflicted with
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The first heart sound, or S 1, forms the "lub" of "lub-dub" and is composed of components M 1 (mitral valve closure) and T 1 (tricuspid valve closure). Normally M 1 precedes T 1 slightly.