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Delayed sleep phase disorder (DSPD), also known as delayed sleep phase syndrome or delayed sleep phase type, and in the 2014 revision of the International Classification of Sleep Disorders (ICSD-3), delayed sleep-wake phase disorder, is a chronic dysregulation of a person's circadian rhythm (biological clock), compared to the general population and ...
It is short and of low frequency and intensity, and is caused by atrial contraction. The vibrations arise from atrial muscle and from blood flow into, and distention of, the ventricles. Abnormalities in Heart Sounds. Decreased compliance of a ventricle is characterized by a gallop or triple rhythm.