An S4 heart sound cannot be present during atrial fibrillation (atrial kick is required). An S3 heart sound cannot be present in the setting of severe mitral stenosis. An S3 heart sound can be present ...
S1 and S2 are the normal heart sounds you hear when the heart valves close. Heart murmurs are extra sounds that can be heard during systole, diastole, or as a continuous sound. S3 and S4 are abnormal ...