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'''Gallops''' may represent pathology in older patients.<ref>[http://gomerblog.com/2015/12/heart/ Physical Exam Tips: The Heart]</ref> When you hear an S3 or S4 gallop, step back and make sure you’re not anywhere near a racetrack like Preakness or Belmont. As the old adage goes, ''Whenever you hear hoofbeats, always think horses.'' How embarrassing would it be to hear a [[Murmurs|murmur]] when it turns out you were just examining a thoroughbred?
[[File:Kentucky_Derby_2014_finish.jpg|300px500px|thumb|left|''S1, followed by S2 and S3 to the finish in the 2014 Kentucky Derby'']]