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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.
This branches out to more problems like inflammation, decreased hearing, sometimes a feeling if fullness in the ears and also pain. Having such inflammation is caused by the increase of blood flow in the area. Having high levels of blood flow makes you hear that pulsating sound in your ears. There have been cases wherein patients with high blood pressure claim to have pulsatile tinnitus right after they began taking blood pressure medication. The pulsating sound subsided mostly after a few weeks.