Left ventricular aneurysm physical examination: Difference between revisions
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{{CMG}};{{AE}}{{MehdiP}} | {{CMG}};{{AE}}{{MehdiP}} | ||
==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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Differentiating Left ventricular aneurysm from other Diseases |
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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
- ↑ Mann, Douglas (2015). Braunwald's heart disease : a textbook of cardiovascular medicine. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455751341.