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42 Possible Causes for Apical Impulse Displaced, S4 Gallop

  • 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.com] gallop due to thickened, non-compliant ventricle Possible murmur from mitral regurgitation Rapidly rising double arterial pulse in the carotid arteries ECG Abnormally deep[amboss.com] 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]

  • Hypertrophic 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.com] […] is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double carotid arterial pulse Apical[emedicine.com] […] gallop is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double carotid arterial pulse Apical[emedicine.com]

  • Congestive Heart Failure

    Cardiac palpation and auscultation for ventricular and atrial gallop rhythms (S3, S4) should be performed.[doi.org] The quality of the heart sounds, and the presence of atrial and ventricular gallops and valvular murmurs are important for diagnosis and clinical assessment.[doi.org]

  • Hypertensive Heart Disease

    In the cases characterized by LVH but without significant systolic LV the apical impulse appears sustained and not displaced.[symptoma.com] 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] The apical impulse displaces laterally due to LV dilatation when significant systolic LV dysfunction occurs in a later stage of the disease.[symptoma.com]

  • Mitral Valve Insufficiency

    Tests When listening to your heart and lungs, the health care provider may detect: A thrill (vibration) over the heart when feeling the chest area An extra heart sound (S4[mountsinai.org] […] night When listening to your heart and lungs, the health care provider may detect: A thrill (vibration) over the heart when feeling the chest area An extra heart sound (S4[medlineplus.gov] gallop) A distinctive heart murmur Crackles in the lungs (if fluid backs up into the lungs) The physical exam may also reveal: Ankle and leg swelling Enlarged liver Bulging[mountsinai.org]

  • Tricuspid Valve Insufficiency

    The left ventricular impulse is prominent because of volume overload. The apical impulse is displaced to the left of the mid-clavicular line.[patient.info] The physical examination may also reveal jaundice, peripheral edema, ascites, weak peripheral pulse, pulmonary rales, and an S3 or S4 gallop.[symptoma.com]

  • Acute Myocarditis

    The physical examination is perhaps even more important, which can reveal tachycardia, cardiac murmurs (soft S1 sound, S3 or S4 gallop, as well as sounds pointing toward insufficiency[symptoma.com]

  • Ischemic Cardiomyopathy

    Because of the shortage of donor hearts, 16 (33%) of 48 patients with ischemic cardiomyopathy died awaiting transplantation. Determining factors that predict effective coronary revascularization and identifying patients who may benefit from revascularization is crucial. From 1984 to 1990, 207 ischemic cardiomyopathy[…][ncbi.nlm.nih.gov]

  • Primary Cardiomyopathy

    Abstract Eleven patients with hypertrophic obstructive cardiomyopathy and eight patients with idiopathic congestive cardiomyopathy underwent extensive neuromuscular studies to determine if a skeletal myopathy is associated with uncomplicated primary cardiomyopathy. The clinical examination revealed peripheral[…][ncbi.nlm.nih.gov]

  • Left Ventricular Hypertrophy

    Abstract In a previous study of 543 patients we developed, using echocardiographic left ventricular mass as the reference standard, two new sets of criteria that improve the electrocardiographic diagnosis of left ventricular hypertrophy (LVH). One set of criteria, which is suitable for routine clinical use, detects[…][doi.org]

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