Normally at rest there is no visible intercostal pulsation.
2nd intercostal pulsations that is palpable is called as Palpable shock of P2 seen in
- Pulmonary artery hypertension
- Atrial septal defect
- Pulmonary stenosis
- Pulmonary artery dilatation
- Pulmonary artery dilatation
- Children
- VSD (Ventricular ductus artenosus)
- PDA (Patent ductus artenosus)
- Idiopathic dilatation of pulmonary artery
- Left ventricular outflow tract pulsations
- RV endomyocardial fibrosis
- Ebstein's anomaly
- Aortic regurgitation
- Hyperdynamic states
- Visible pulsation of the Posterior intercostal vessel is seen in Coarctation of aorta - Suzman's sign.
Right ventriculaerenlargement leads to left parasternal pulsation, gross right ventricular enlargement is seen in
ASD --pulsation over the entire precordium
LV enlargement -pulsation of part of precordium.
