Apex beat The “apex beat” or “apical impulse” is the palpable cardiac impulse farthest away from the sternum and farthest down on the chest wall, usually caused by the left ventricle and located near the midclavicular line in the fifth intercostal space. | Dr. Najeeb

34K views · 203 reactions | HYPER DYNAMIC APICAL IMPULSE *********************************************** Seen LV volume overloaded states like severe mitral or aortic regurgitation (causing LV dilatation) Apical impulse occupies 2 or more intercostal spaces or >3 sq.cm area There is increase in amplitude but the duration may remain normal. | Medical Snippet | Facebook

Cardiac sheet Dr Usama Alkholy