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24 Possible Causes for Apical Impulse Displaced, Bounding Pulse

  • Patent Ductus Arteriosus

    impulse is laterally displaced; a thrill may be present in the suprasternal notch or in the left infraclavicular region The first heart sound (S 1 ) is typically normal,[emedicine.medscape.com] If the PDA is moderate or large, widened pulse pressure and bounding peripheral pulses are frequently present, reflecting increased left ventricular stroke volume and diastolic[en.wikipedia.org] Examination  Physical underdevelopment  Wide pulse pressure – bounding peripheral pulses  Hyperkinetic apex, continuous thrill in 2nd lt ICS  Continous murmur 5.  Accentuated[slideshare.net]

  • Aortic Valve Insufficiency

    LV enlargement may manifest as a displaced, diffuse, and hyperdynamic apical impulse.[clinicaladvisor.com] It is accompanied by systolic hypertension and wide pulse pressure, which account for peripheral physical findings, such as bounding pulses.[ncbi.nlm.nih.gov] […] of the point of maximal impulse inferiorly and laterally, consistent with the volume overload and increased LV chamber size Hyperdynamic apical impulse Diastolic thrill,[emedicine.medscape.com]

  • Congenital Aortic Insufficiency

    LV enlargement may manifest as a displaced, diffuse, and hyperdynamic apical impulse.[clinicaladvisor.com] This leads to a strong and forceful pulse (bounding pulse). Over time, the heart becomes less able to pump blood to the body.[wexnermedical.osu.edu] The left lower chamber of the heart widens (dilates) and the heart beats very strongly ( bounding pulse ).[medlineplus.gov]

  • Acute Aortic Regurgitation

    LV enlargement may manifest as a displaced, diffuse, and hyperdynamic apical impulse.[clinicaladvisor.com] The left lower chamber of the heart widens (dilates) and the heart beats very strongly ( bounding pulse ).[medlineplus.gov] This is the one with the widened pulse pressure, bounding pulses, de Musset's sign, etc.[forums.studentdoctor.net]

  • Thyrotoxic Heart Disease

    Other findings were tachypnea (respiratory rate 36 cycles per minute), jugular venous distension, displaced point of maximal apical impulse, a third heart sound, rales in[pubs.sciepub.com] […] peripheral pulses, wide pulse pressure, active precordium, systolic ejection murmur (50%), Means-Lerman scratch (rubbing of the hyperdynamic pericardium against the pleura[slideshare.net] pulses 75 wide pulse pressure 75 hyperactive precordium 75 dyspnea on exertion 50 fatigue 50 systolic murmurs 50 systolic hypertension 30 atrial fibrillation 15 angina pectoris[slideshare.net]

  • Rheumatic Fever

    Unlike the examination with chronic AR, the pulse pressure may be narrow without increased or bounding pulses.[clinicaladvisor.com]

  • Pulsus Alternans

    Abnormalities include: Forceful apical thrust: Left ventricular hypertrophy. Lateral and downward displacement of apex impulse: Left ventricular dilatation.[accessmedicine.mhmedical.com] Easily palpable, pounds under your fingertips Full, Bounding Pulse is associated with Hyperkinetic states (exercise, anxiety, fever) anemia, hyperthyroidism.[quizlet.com] B: A bisferiens pulse has two peaks and is common with aortic regurgitation. D: hyperkinetic pulse is a high-volume or bounding pulse.[usmleforum.com]

  • Congenital Absence of Ductus Arteriosus

    ., failure to thrive ; ) and symptoms of heart failure in infancy (see overview section above) Physical examination Heaving, laterally displaced apical impulse Bounding peripheral[amboss.com] Peripheral pulses are bounding as the run-off into the pulmonary circulation drops the diastolic pressure and causes a wide pulse pressure.[patient.info] Bounding pulses in arms and decreased pulses in legs. Surgical repair usually required between 2 and 4 years of age.[aafp.org]

  • Acyanotic Congenital Heart Disease

    ., failure to thrive ; ) and symptoms of heart failure in infancy (see overview section above) Physical examination Heaving, laterally displaced apical impulse Bounding peripheral[amboss.com] […] pressure  collapsing or bounding pulse Chest X-ray & ECG - Usually normal unless the PDA is large and symptomatic - Features seen are indistinguishable from VSD - Duct should[slideshare.net] Bounding pulses in arms and decreased pulses in legs. Surgical repair usually required between 2 and 4 years of age.[aafp.org]

  • Jugular Venous Distention

    Heart enlargement would displace the apical impulse but not cause it to be nonpalpable.[quizlet.com] pulses, wide pulse pressure, accentuated heart sounds, peripheral vasodilatation, increased cardiac output and ejection fraction, moderate four-chamber enlargement Low cardiac[aafp.org] Physical examination revealed jugular venous distention, a displaced apical cardiac impulse, a parasternal heave, and a loud S2.[bjmp.org]

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