Left ventricular aneurysm physical examination: Difference between revisions

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==Overview==
==Overview==
 
Physical findings on cardiac examination in patients with LV aneurysms include diffuse displaced apical impulse, S3 and/or S4 heart sounds and mitral regurgitation murmur.
==Physical exam==
==Physical exam==
Common physical findings of LV aneurysm include:
Common physical findings of 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.

Revision as of 20:20, 7 November 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Overview

Physical findings on cardiac examination in patients with LV aneurysms include diffuse displaced apical impulse, S3 and/or S4 heart sounds and mitral regurgitation murmur.

Physical exam

Common physical findings of 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
  • Third heart sound (S3) and often a fourth sound (S4) are present.
  • There may be an apical pansystolic murmur due to LV wall anatomical distortion an if mitral regurgitation is present.

References

  1. Mann, Douglas (2015). Braunwald's heart disease : a textbook of cardiovascular medicine. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455751341.


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