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 ...
When a doctor listens to the heart of a person with a heart murmur, they may hear a whooshing, swishing, humming, or rasping sound. This is due to rapid, turbulent blood flow through the heart.