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  2. Apex beat - Wikipedia

    en.wikipedia.org/wiki/Apex_beat

    Sometimes, the apex beat may not be palpable, either due to a thick chest wall, or conditions where the stroke volume is reduced; such as during ventricular tachycardia or shock. The character of the apex beat may provide vital diagnostic clues: A forceful impulse indicates volume overload in the heart (as might occur in aortic regurgitation)

  3. Cardiac examination - Wikipedia

    en.wikipedia.org/wiki/Cardiac_examination

    The apex beat is assessed for size, amplitude, location, impulse and duration. There are specific terms to describe the sensation such as tapping, heaving and thrusting. Often the apex beat is felt diffusely over a large area, in this case the most inferior and lateral position it can be felt in should be described as well as the location of ...

  4. Fourth heart sound - Wikipedia

    en.wikipedia.org/wiki/Fourth_heart_sound

    The fourth heart sound or S 4 is an extra heart sound that occurs during late diastole, immediately before the normal two "lub-dub" heart sounds (S 1 and S 2).It occurs just after atrial contraction and immediately before the systolic S 1 and is caused by the atria contracting forcefully in an effort to overcome an abnormally stiff or hypertrophic ventricle.

  5. Heart murmur - Wikipedia

    en.wikipedia.org/wiki/Heart_murmur

    The sound differs from normal heart sounds by their characteristics. For example, heart murmurs may have a distinct pitch, duration and timing. [ 2 ] [ 3 ] The major way health care providers examine the heart on physical exam is heart auscultation ; [ 3 ] another clinical technique is palpation , which can detect by touch when such turbulence ...

  6. Mitral stenosis - Wikipedia

    en.wikipedia.org/wiki/Mitral_stenosis

    Upon auscultation of an individual with mitral stenosis, the first heart sound is usually loud and may be palpable (tapping apex beat) because of increased force in closing the mitral valve. The first heart sound is made by the mitral and tricuspid heart valves closing. These are normally synchronous, and the sounds are termed M1 and T1 ...

  7. Cardiovascular examination - Wikipedia

    en.wikipedia.org/wiki/Cardiovascular_examination

    The cardiovascular examination is a portion of the physical examination that involves evaluation of the cardiovascular system. The exact contents of the examination will vary depending on the presenting complaint but a complete examination will involve the heart (cardiac examination), lungs (pulmonary examination), belly (abdominal examination) and the blood vessels (peripheral vascular ...

  8. Do you overplan the holidays? You might be missing the point

    www.aol.com/overplan-holidays-might-missing...

    “The reality is that you can have a lot more enjoyment in life if you can take some of that pressure off and not be so focused on things having to be picture-perfect.”

  9. Ventricular septal defect - Wikipedia

    en.wikipedia.org/wiki/Ventricular_septal_defect

    Pansystolic (Holosystolic) murmur along lower left sternal border (depending upon the size of the defect) +/- palpable thrill (palpable turbulence of blood flow). Heart sounds are normal. Larger VSDs may cause a parasternal heave, a displaced apex beat (the palpable heartbeat moves laterally over time, as the heart enlarges).