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1 The third sound was described as a loud, crisp tapping sound. 2  The fourth sound, at pressures within 10 mmHg above the diastolic blood pressure, was described as thumping and muting. 3  The fifth Korotkoff sound is silent as the cuff pressure drops below the diastolic blood pressure.orotkoff sounds are the sounds that medical personnel listen for when they are taking blood pressure using a non-invasive procedure.
Alternatively, some doctors recommend ambulatory blood pressure monitoring in which a device is worn by a person at home. The devices measure the blood pressure over a one to two day period every 15 to 20 minutes during the day and every 30 to 60 minutes at night. This is more costly and not always available, though, so self-recorded home blood pressure measurements are a reasonable alternative.