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634 Possible Causes for Apical Impulse Displaced, Increased Area of Cardiac Dullness, P Mitrale

  • Cardiomyopathy

    […] precordial impulse that is displaced laterally and usually is abnormally forceful and enlarged Systolic ejection crescendo-decrescendo murmur Holosystolic murmur at the apex[emedicine.medscape.com] […] markedly longer chordae tendineae (DCM-lowMR: 24 [20-26] mm; controls: 14 [13-16] mm; P 0.01) and larger anterior leaflets (DCM-lowMR: 30 [27-31] mm; controls: 22 [20-24] mm; P[ncbi.nlm.nih.gov] apical impulse, 13,41 muffled heart sounds 41 with a third heart sound, 13,41 a mitral regurgitation murmur 13,41 or signs of pulmonary congestion. 13 Signs of systemic venous[revportcardiol.org]

  • Congestive Heart Failure

    Lancellotti P, Gerard PL, Pierard LA. Long-term outcome of patients with heart failure and dynamic functional mitral regurgitation.[emedicine.com] Geis N, Raake P, Mereles D, et al. Percutaneous repair of severe mitral valve regurgitation secondary to chordae rupture in octogenarians using MitraClip.[emedicine.com] mitral valve repair.[emedicine.com]

  • Dilated Cardiomyopathy

    apical impulse, 13,41 muffled heart sounds 41 with a third heart sound, 13,41 a mitral regurgitation murmur 13,41 or signs of pulmonary congestion. 13 Signs of systemic venous[revportcardiol.org] […] markedly longer chordae tendineae (DCM-lowMR: 24 [20-26] mm; controls: 14 [13-16] mm; P 0.01) and larger anterior leaflets (DCM-lowMR: 30 [27-31] mm; controls: 22 [20-24] mm; P[ncbi.nlm.nih.gov] \mathrm{d}t\) ⁠ ), and mitral regurgitation (MR) before and after biventricular pacing as well as when pacing was suspended for 4 weeks.[doi.org]

  • Ischemic Cardiomyopathy

    […] and CABG ( P 0.0017), post-MRI revascularization ( P 0.046), sex (0.043), mitral regurgitation ( P 0.004), and RV ESVi ( P 0.03) were found to be independently associated[ahajournals.org] Diastasis was the period between the end of the E wave of the anterior leaflet of the mitral valve and the P wave of the electrocardiogram.[omicsonline.org] Survival Modeling CPH modeling revealed that after adjustment for potential confounders and propensity score for revascularization, age ( P P 0.016), interaction between ESVi[ahajournals.org]

  • Large Ventricular Septal Defect

    Prominent apical impulse due to increased LV output to compensate for left-to-right shunt. Apex is laterally displaced as heart enlarges.[pedclerk.bsd.uchicago.edu] Neither diagnosis of TBA or TGA/VSD nor any associated anatomical feature (including aortic arch obstruction, unusual coronary anatomy, great artery relationship, or mitral[ncbi.nlm.nih.gov] […] multivariate analysis, factors associated with mortality were the presence of preoperative IPPV for pneumonia (P .006) and the need for peritoneal dialysis following surgery (P[ncbi.nlm.nih.gov]

  • Hypertensive Heart Disease

    In the cases characterized by LVH but without significant systolic LV the apical impulse appears sustained and not displaced.[symptoma.com] Significance was defined as p RESULTS: HHD and HCM cohorts were age-/gender-matched.[ncbi.nlm.nih.gov] Later in the course of disease, when significant systolic LV dysfunction supervenes, the apical impulse is displaced laterally, owing to LV dilatation.[emedicine.medscape.com]

    Missing: Increased Area of Cardiac Dullness
  • Alcoholic Cardiomyopathy

    Cardiac percussion and palpation reveal evidence of an enlarged heart with a laterally displaced and diffuse point of maximal impulse.[emedicine.com] Figure 3 Fig 3: ECG done 3 months after discharge showing sinus rhythm and broad bifid P waves.[ispub.com] Auscultation can help to reveal the apical murmur of mitral regurgitation and the lower parasternal murmur of tricuspid regurgitation secondary to papillary muscle displacement[emedicine.com]

  • Cardiomegaly

    Evolving Concepts and Technologies in Mitral Valve Repair.[explainmedicine.com] LV apical aneurysm (arrowheads) and maximal LV wall thickening at mid-ventricular level with muscular apposition of septum and LV free wall producing distinct proximal (P)[doi.org] Circulation [online] 2005 April, 111(16):2146-2150 [viewed 07 July 2014] Available from: doi:10.1161/01.CIR.0000161276.09685.4A FEDAK P. W.M., MCCARTHY P. M., BONOW R.[explainmedicine.com]

  • Rheumatic Fever

    Klein HO, Sareli P, Schamroth CL, et al. Effects of atenolol on exercise capacity in patients with mitral stenosis with sinus rhythm. Am J Cardiol 1985;56:598–601.[doi.org] Marcus RH, Sareli P, Pocock WA, Barlow JB. The spectrum of severe rheumatic mitral valve disease in a developing country.[dx.doi.org] [Medline] Marcus RH, Sareli P, Pocock WA, et al. Functional anatomy of severe mitral regurgitation in active rheumatic carditis. Am J Cardiol. 1989; 63: 577–584.[web.archive.org]

  • Patent Ductus Arteriosus

    Prominent and laterally displaced apical impulse Due to the left ventricular hypertrophy and dilatation which occurs with large left to right shunts.[medicaljoyworks.com] 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] […] following: If the left-to-right shunt is large, precordial activity is increased, with the magnitude of increased activity related to the magnitude of left-to-right shunt The apical[emedicine.medscape.com]

    Missing: Increased Area of Cardiac Dullness