Abstract
Crackles were recorded from six patients, four with tuberculosis and two with chronic bronchitis. It was observed by waveform and spectral analysis that most of the frequency components of a crackle were limited within a range of 0.1 to 1 kHz. Characteristically, waveforms of crackles were separable into two segments, initial "starting segments" and subsequent "decay segments." It is suggested that the former represents a shock wave caused by an abrupt opening of the airway and that the latter is a damped sinusoid caused by this shock wave exciting a resonator in the lung. It is speculated that the starting segment is determined by the pressure ratio at the site of the airway opening, and the decay segment by the resonant frequency and the quality factor of the resonator. Because transmission of a crackle is highly directional the waveforms recorded on the chest wall are modified by the positional relationship between the sound source and the microphone.
Full text
PDF







Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Forgacs P. Crackles and wheezes. Lancet. 1967 Jul 22;2(7508):203–205. doi: 10.1016/s0140-6736(67)90024-4. [DOI] [PubMed] [Google Scholar]
- McKUSICK V. A., JENKINS J. T., WEBB G. N. The acoustic basis of the chest examination; studies by means of sound spectrography. Am Rev Tuberc. 1955 Jul;72(1):12–34. doi: 10.1164/artpd.1955.72.1.12. [DOI] [PubMed] [Google Scholar]
- Murphy R. L., Jr, Holford S. K., Knowler W. C. Visual lung-sound characterization by time-expanded wave-form analysis. N Engl J Med. 1977 Apr 28;296(17):968–971. doi: 10.1056/NEJM197704282961704. [DOI] [PubMed] [Google Scholar]
- Nath A. R., Capel L. H. Inspiratory crackles and mechanical events of breathing. Thorax. 1974 Nov;29(6):695–698. doi: 10.1136/thx.29.6.695. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yoganathan A. P., Gupta R., Corcoran W. H. Fast Fourier transform in the analysis of biomedical data. Med Biol Eng. 1976 Mar;14(2):239–245. doi: 10.1007/BF02478755. [DOI] [PubMed] [Google Scholar]

