Which Abnormal Conditions May Affect The Location Of The Apical Impulse

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Which Abnormal Conditions May Affect The Location Of The Apical Impulse

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CARDIAC ENLARGEMENT: - LEFT VENTRICULAR DILATION (volume overload) displaces impulse down and to the left ans increases size more that one space. -a SUSTAINED impulse wirh increased force and duration but no change in location occurs with LEFT VENTRICULAR HYPERTROPHY and no dilation (pressure overload) - PULMONARY EMPHYSEMA makes it non-palpable from the lung sound overridding heart sound.

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