What are the causes of pulsation in different areas of precordium

Causes of prominent carotid pulsations are

1.        AR

2.        Hyperdynamic circulation such as anemia, thyrotoxicosis, fever

3.        Aortic aneurysm

4.        Atherosclerosis

5.        Exertion, emotions, excitement

6.        Kinked carotid artery

Causes of pulsations in suprasternal notch

1.        Hyperkinetic circulation

2.        AR

3.        Coarctation of aorta

4.        Aneurysm of arch of aorta

5.        Unfolding of arch of aorta

6.        High arch of aorta

Pulsations in pulmonary area is seen in 

1.        Children

2.        PAH (pulmonary artery hypertension)

3.        ASD (atrial septal defect)

4.        VSD (Ventricular septal defect)

5.        PDA (Patent ductus arteriosus)

6.        Idiopathic dilatation of pulmonary artery

Causes of left parasternal pulsation

1.     Right ventricular hypotrophy
2.      Left atrial hypertrophy

3.      Atrial septal defect

Causes of right parasternal pulsations

1.        Dextrocardia

2.        Dextroversion

3.        Aneurysm of ascending aorta

4.        Right atrial hypertrophy due to any cause.

Causes of epigastric pulsation

1.        Excitement in thin person

2.        RVH

3.        Aneurysm of abdominal aorta

4.        Transmitted hepatic pulsations in tricuspid incompetence

Pulsation at back

1.      Coarctation of aorta (Suzman’s sign)

2.       Pulmonary AV fistula

Juxta apical pulsation

1.     Ventricular aneurysm
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Causes of pulsations in different areas of precordium