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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
Auscultation (based on the Latin verb auscultare "to listen") is listening to the internal sounds of the body, usually using a stethoscope.Auscultation is performed for the purposes of examining the circulatory and respiratory systems (heart and breath sounds), as well as the alimentary canal.
An accurate diagnosis remains challenging for various reasons including noise, high heart rates, and the ability to distinguish innocent from pathological murmurs. Properly performed, the auscultatory examination of the heart is commonly regarded as an inexpensive, widely available tool in the detection and management of heart disease. [10]
Nikolai Korotkov was born to a merchant family at 40 Milenskaia Street in Kursk on February 26, 1874. He attended the Kursk Gymnasium (secondary school). He entered the medical faculty of Kharkiv University in 1893 and transferred to Moscow University in 1895, where he graduated with distinction in 1898.
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