Left ventricular aneurysm physical examination: Difference between revisions
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{{CMG}};{{AE}}{{MehdiP}} | {{CMG}};{{AE}}{{MehdiP}} | ||
==Overview== | ==Overview== | ||
The physical examination findings on cardiac examination in patients with LV aneurysm include a diffuse and displaced apical impulse, S3 and/or S4 heart sounds, and murmur of mitral regurgitation. | |||
==Physical exam== | ==Physical exam== | ||
===Appearance of the patient=== | ===Appearance of the patient=== | ||
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=== Cardiovascular === | === Cardiovascular === | ||
Common | Common findings in patients with LV aneurysm include:<ref>{{cite book | last = Mann | first = Douglas | title = Braunwald's heart disease : a textbook of cardiovascular medicine | publisher = Elsevier/Saunders | location = Philadelphia, PA | year = 2015 | isbn = 978-1455751341 }}</ref> | ||
:'''Palpation''' | :'''Palpation''' | ||
*Diffuse, sustained apical systolic thrust and a double impulse. | *Diffuse, sustained apical systolic thrust and a double impulse. | ||
*Displaced [[apical impulse]] to the left of the [[Midclavicular line|mid clavicular line]]. | *Displaced [[apical impulse]] to the left of the [[Midclavicular line|mid clavicular line]]. | ||
:'''Auscultation''' | :'''Auscultation''' | ||
*[[Third heart sound]] (S3) and often a [[S4|fourth sound]] (S4) | *Presence of a [[Third heart sound]] (S3), and often a [[S4|fourth sound]] (S4). | ||
*There may be an [[apical]] pansystolic murmur due to LV wall anatomical distortion | *There may be an [[apical]] pansystolic murmur due to the LV wall anatomical distortion, and also from [[mitral regurgitation]], if present. | ||
==References== | ==References== | ||
Latest revision as of 04:48, 9 April 2017
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Left ventricular aneurysm Microchapters |
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Differentiating Left ventricular aneurysm from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Left ventricular aneurysm physical examination On the Web |
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American Roentgen Ray Society Images of Left ventricular aneurysm physical examination |
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Risk calculators and risk factors for Left ventricular aneurysm physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]
Overview
The physical examination findings on cardiac examination in patients with LV aneurysm include a diffuse and displaced apical impulse, S3 and/or S4 heart sounds, and murmur of mitral regurgitation.
Physical exam
Appearance of the patient
Patients are usually well-appearing.
Vital signs
High blood pressure with normal pulse pressure may be seen. Tachycardia is another finding.
Cardiovascular
Common findings in patients with LV aneurysm include:[1]
- Palpation
- Diffuse, sustained apical systolic thrust and a double impulse.
- Displaced apical impulse to the left of the mid clavicular line.
- Auscultation
- Presence of a Third heart sound (S3), and often a fourth sound (S4).
- There may be an apical pansystolic murmur due to the LV wall anatomical distortion, and also from mitral regurgitation, if present.
References
- ↑ Mann, Douglas (2015). Braunwald's heart disease : a textbook of cardiovascular medicine. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455751341.