Types Of Cardiac Impulse

(This is a Written Question Of Final Professional MBBS ( Medicine) Examination of Bangladesh)

• Heaving - Forcefull And Sustained Apical Impulse Due To Pressure Overload.
Causes:- Hypertension And Aortic Stenosis.

• Thrusting Apical Impulse - Forcefull But Not Sustained Apical Impulse Due To

Volume Overload. Causes:- Mitral Regurgitation, Aortic Regurgitation,
Dialated Cardiomyopathy.

• Dyskinatic - UnCoordinated Apical Impulse Felt Over A Large Area Due To.
Left Ventricular Sysfunction.

• Double Apical Impulse - 2 Distinct Apical Impulse In Precordium. Due To.
Hypertrophic Cardiomyopathy.

• Tapping Apex Beat - Palpable 1st Heart Sound Due To.
Mitral Stenosis, Tricuspid Stenosis.