Sometimes you might not be able to feel the apex beat of your patient. In such situation, ask the patient to roll over to their left side. This will bring the heart closer to chest wall and emphasise the apex beat. Now it will be easier for you to feel the apex beat. If you are still unable to feel the apex beat check the right side for dextrocardia.

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Move your patient to left lateral decubitus position to make the heart come closer to the chest wall. This manoeuvre will allow you to hear the apex beat more clearly. Still if you are unable to hear the apex beat, check for dextrocardia.