It possesses an intensity that reveals an inner conflict, characterized by a succession of dissonances. The melody is distinctive for its use of a lowered dominant. Augmented fourths and diminished fifths appear throughout, creating an unsettling and tense atmosphere alongside chromatic progressions.

The melody, played in unison by both hands, begins in the low register and gradually ascends. From measure 19, the right hand plays in octaves, leading to an interplay between a three-voice melody and chords. The octave melody from measure 43 is passionate and imbued with a sense of madness. From the Presto section, a rapid succession of chords leads to repeated modulations, accelerating into a Prestissimo.