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The cardiac impulse is the vibration resulting from the heart rotating, moving forward, and striking against the chest wall during systole. The PMI is not the apex of the heart but is on the precordium not far from it. Another theory for the occurrence of the PMI is the early systolic contraction of the longitudinal fibers of the left ventricle ...
While both ventilation and perfusion increase going from the apex to the base, perfusion increases to a greater degree than ventilation, lowering the V/Q ratio at the base of the lungs. The principal factor involved in the creation of this V/Q gradient between the apex and the base of the lung is gravity (this is why V/Q ratios change in ...
The V/Q ratio in the apex is roughly 3.3 and 0.63 in the base, which indicates that perfusion is greater than ventilation towards the base, and the ventilation rate is greater than perfusion towards the apex. [3] Towards the base of the lungs, the fluid volume in the pleural cavity increases due to gravity, resulting in greater intrapleural ...
The Purkinje fibers have a fast inherent conduction rate, and the electrical impulse reaches all of the ventricular muscle cells in about 75 ms. Since the electrical stimulus begins at the apex, the contraction also begins at the apex and travels toward the base of the heart, similar to squeezing a tube of toothpaste from the bottom.
Base and diaphragmatic surface of heart showing some cardiac veins. The vessels that remove the deoxygenated blood from the heart muscle are the cardiac veins. These include the great cardiac vein, the middle cardiac vein, the small cardiac vein, the smallest cardiac veins, and the anterior cardiac veins.
In medicine, the cardiac examination, also precordial exam, is performed as part of a physical examination, or when a patient presents with chest pain suggestive of a cardiovascular pathology. It would typically be modified depending on the indication and integrated with other examinations especially the respiratory examination .
It is situated on the sternocostal surface of the heart, [1] [2] close to the left margin of the heart. [2] It extends between the coronary sulcus, and the apex of the heart; [1] upon reaching the diaphragmatic surface of the heart, it ends at the notch of cardiac apex. [3]
In the coronary circulation, the posterior descending artery (PDA), also called the posterior interventricular artery (PIV, PIA, or PIVA), is an artery running in the posterior interventricular sulcus to the apex of the heart where it meets with the left anterior descending artery also known as the anterior interventricular artery.