MEDizzy
MEDizzy
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Steven Youngover 3 years ago

Why might the apex beat be impalpable?

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over 3 years ago

1) obese and female patients 2) In case of heart failure

over 3 years ago

Sometimes apex beat is impalpable because of - Muscular of fat chest wall - Pleural effusion - Emphysema - Pneumothorax - Constrictive percarditis - Dextrocardia - Marked mediastinal shift - Reduced pulse as in Tamponade and Restrictive Pericarditis - Displacement of apex beat past the mid-axillary line due to excessive left ventricular hypertrophy (rare)

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