Left ventricular aneurysm physical examination: Difference between revisions
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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 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== | ||
===Appearance of the patient=== | |||
Patients are usually well-appearing. | |||
===Vital signs=== | |||
[[Hypertension|High blood pressure]] with normal pulse pressure may be seen. [[Tachycardia]] is another finding. | |||
=== Cardiovascular === | |||
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> | 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. | ||
*Displaced apical impulse to the left of the 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 fourth sound (S4) are present. | *[[Third heart sound]] (S3) and often a [[S4|fourth sound]] (S4) are present. | ||
*There may be an apical pansystolic murmur due to LV wall anatomical distortion an if mitral regurgitation is present. | *There may be an [[apical]] pansystolic murmur due to LV wall anatomical distortion an if [[mitral regurgitation]] is present. | ||
==References== | ==References== | ||
Revision as of 15:29, 5 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
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
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 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.