What is typically heard when there is an S3 heart sound?

When there is an S3 heart sound, it is typically associated with the phenomenon of blood rushing into the left ventricle (LV) during the rapid filling phase of diastole. This sound occurs shortly after the second heart sound (S2) and is most commonly heard in conditions where there is increased blood volume or decreased ventricular compliance, such as heart failure or in conditions with high-output states.

The S3 sound signifies that the ventricles are filling with blood more forcefully, which can happen in different clinical scenarios, including in patients with dilated cardiomyopathy, congestive heart failure, or in younger individuals with a normal physiology. This sound can be described as a "gallop" rhythm, and its presence can give clinicians important insights into the hemodynamic status of the patient.

The other choices reflect distinct physiological events or pathological states that do not align with the characteristics of the S3 heart sound, making them less relevant in this context.