米 Pulsation apical impulse The apical impulse is occurring early in systole. The apex impulse is normally located at or medial to the midclavicular line in the fourth or fifth intercostal space when the patient is supine
Pulsation apical impulse The apical impulse is occurring early in systole. The apex impulse is normally located at or medial to the midclavicular line in the fourth or fifth intercostal space when the patient is supine
Usually it is detectable in only one intercostal space and is less than 2-2.5 cm in diameter. The normal apex impulse is characterized by a brief early systolic out ward thrust of moderate amplitude, which ends well before the second heart sound
Usually it is detectable in only one intercostal space and is less than 2-2.5 cm in diameter. The normal apex impulse is characterized by a brief early systolic out ward thrust of moderate amplitude, which ends well before the second heart sound
The apex impulse is normally exaggerated in thin, young individuals and when the subject is in the left lateral decubitus position
The apex impulse is normally exaggerated in thin, young individuals and when the subject is in the left lateral decubitus position
Diastolic movements are not perceptible in most cases, but in children and young adults an early diastolic F wave is occasionally present
Diastolic movements are not perceptible in most cases, but in children and young adults an early diastolic F wave is occasionally present
Normally apical impulse Its location duration intensity amplitude
Normally apical impulse : It’s location duration intensity amplitude