Showing posts with label apexbeat. Show all posts
Showing posts with label apexbeat. Show all posts

How to localise the apex beat?

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Apex beat is situated in the 5th intercostal space just medial to MCL; palpate with fingertips well localised,area of impulse size of R5 c...

What is displaced Apex?

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Cardiac causes of displaced apex beat Cardiomegaly—chamber enlargement or aneurysm Respiratory causes of displaced apex beat Fibrosis...

Bifid apex beat

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Two impulses are felt during each cardiac cycle Apical impulse + palpable shock produced by the presence of 3rd or 4th heart sound. Cause...

Diffuse apex beat

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Apex beat felt equally with more than 4 finger or in more than 1 intercostal space Causes of diffuse apex beat Left ventricular dilatati...

How will you differentiate between left ventricular and right ventricular apex

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Left ventricular type of apex Here the apex beat goes downward and outward. Impulse is felt in large area Impulse maximum felt at apex ...

Forcible apex beat

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Apex beat is forceful and illsustained In foreful apexbeat palpating finger is lifted above the plane of the adjoining rib, but it is ill ...

Heaving apical impulse

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Apex beat is forceful and well sustained It is forceful and well sustained due to systolic overload of ventricle. It is well sustained du...

Hypokinetic apex beat

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Thrust of apex beat is minimal. Hypokinetic apex beat is seen in  Myocardial infarction Pericardial effusion  Constrictive pericarditi...

Rightventricular type of apex

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Apical impulse formed by rightventricle Precordial surface of heart is mainly occupied by grossly enlarged right ventricle (RV) as in ASD,...

Retractile apical impulse

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Retractile apical impulse is seen in Constrictive pericarditis  Severe Tricuspid regurgitation.

Impalpable apex beat

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Apex beat may not be palpable due to following reasons. Apex beat lying behind the rib Obesity or thick chest wall Emphysema Pleural e...

See saw apex beat

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This is a diffuse apex beat confined to more than one intercostal spaces. When two fingers are placed over each intercostal spaces, there ...

Tapping apex beat

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Apex beat is of low amplitude It is ill sustained occur in mitral stenosis and tachycardia Palpating finger is not lifted, the distinct p...

Triple or wavy apex beat

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Triple or wavy apex beat  It is a feature of HOCM This is due to systolic bifid apical impulse + palpable shock of 4th heart sound. Three ...

Significance of Apex beat

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Mechanism of production Apexbeat is produced due to the counter-clockwise rotation of the left ventricle in early systole followed by reco...

Golden Rules for examination of apex beat

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Before commenting on the position and character of apical impulse,you should search for the presence of chest wall or spinal deformities, a...

Chraracteristics of normal apex

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Normal apex beat features Site is in 5th left intercostal space 1cm inside the midclavicular line It is confined to one intercostal spac...

Inspection of Apical impulse

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Apical impulse is the outermost and the lowermost point over the precordium where a distinct impulse is seen or felt during each cardiac cy...