True about third hea sound is-
**Core Concept**
The third heart sound (S3) is a type of heart murmur that occurs during early diastole, just after the second heart sound (S2). It is caused by the rapid filling of the ventricles with blood, particularly in conditions where there is increased volume or pressure within the ventricles.
**Why the Correct Answer is Right**
In Mitral Stenosis (MS), the mitral valve is narrowed, restricting blood flow from the left atrium to the left ventricle. As a result, the left ventricle is unable to fill rapidly, and the third heart sound (S3) is typically absent. This is because the reduced flow through the mitral valve leads to a decrease in the volume of blood entering the left ventricle, thereby reducing the likelihood of an S3 sound.
**Why Each Wrong Option is Incorrect**
**Option A:** Constrictive pericarditis is a condition where the pericardium (the sac surrounding the heart) becomes scarred and stiff, restricting the heart's ability to expand and fill with blood. In this condition, the third heart sound (S3) may actually be present due to the increased pressure and volume within the ventricles.
**Option B:** Aortic aneurysm is a dilation of the aorta, which can lead to increased pressure and volume within the left ventricle. As a result, the third heart sound (S3) may actually be present due to the increased flow into the left ventricle.
**Option D:** Cardiac tamponade is a condition where fluid accumulates in the pericardial sac, compressing the heart and restricting its ability to fill with blood. In this condition, the third heart sound (S3) may actually be present due to the increased pressure and volume within the ventricles.
**Clinical Pearl / High-Yield Fact**
The third heart sound (S3) is often associated with conditions that increase the volume or pressure within the ventricles, such as heart failure or constrictive pericarditis. It is an important clinical finding that can help diagnose these conditions.
β Correct Answer: C. Absent in MS