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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 ]
There are five Korotkoff sounds: [7] Phase I: The first appearance of faint, repetitive, clear tapping sounds which gradually increase in intensity for at least two consecutive beats is the systolic blood pressure.
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
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Yanovsky and his pupils verified the accuracy of the technique and described the phases of the auscultatory sounds and for a time technique was known as the Korotkov-Yanovsky method. Nikolai Korotkov, then serving as research physician to the mining district of Vitimsko-Olekminsky in Siberia, received his doctorate in 1910.
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Computer-aided auscultation (CAA), or computerized assisted auscultation, is a digital form of auscultation.It includes the recording, visualization, storage, analysis and sharing of digital recordings of heart or lung sounds.