PRECORDIAL PALPATION is a topic covered in the Harrison's Manual of Medicine.

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Cardiac apical impulse is normally localized at the fifth intercostal space, midclavicular line. Abnormalities include:

  • Forceful apical thrust: Left ventricular hypertrophy
  • Lateral and downward displacement of apex impulse: Left ventricular dilatation
  • Prominent presystolic impulse: Hypertension, aortic stenosis, hypertrophic cardiomyopathy
  • Double systolic apical impulse: Hypertrophic cardiomyopathy
  • Sustained “lift” at lower left sternal border: Right ventricular hypertrophy
  • Dyskinetic (outward bulge) impulse: Ventricular aneurysm, large dyskinetic area post MI, cardiomyopathy

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* When formatting your citation, note that all book, journal, and database titles should be italicized* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - PRECORDIAL PALPATION ID - 623299 ED - Fauci,Anthony S, ED - Hauser,Stephen L, ED - Jameson,J Larry, ED - Kasper,Dennis L, ED - Longo,Dan L, ED - Loscalzo,Joseph, BT - Harrison's Manual of Medicine UR - PB - McGraw Hill Inc. ET - 19 DB - Harrison's Manual of Medicine DP - Unbound Medicine ER -