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20 Possible Causes for Double Apical Impulse

  • Hypertrophic Cardiomyopathy

    […] carotid arterial pulse Apical precordial impulse that is displaced laterally and usually is abnormally forceful and enlarged Systolic ejection crescendo-decrescendo murmur[emedicine.medscape.com] apical impulse or triple apical impulse (less common) Normal first heart sound; second heart sound usually is normally split but is paradoxically split in some patients with[emedicine.medscape.com] […] severe outflow gradients; S3 gallop is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double[emedicine.medscape.com]

  • Idiopathic Disease

    A double apical impulse was often palpable. Apex cardiograms usually showed an abnormally tall presystolic expansion wave ( a wave).[circ.ahajournals.org]

  • Ventricular Aneurysm

    Cardiovascular Common findings in patients with LV aneurysm include: [1] Palpation Diffuse, sustained apical systolic thrust and a double impulse.[wikidoc.org] Displaced apical impulse to the left of the mid clavicular line . Auscultation Presence of a Third heart sound (S3), and often a fourth sound (S4).[wikidoc.org]

  • Sarcoid Myocarditis

    apical impulse: forceful left atrial contraction against a highly noncompliant LV, common in adults -triple apical impulse: late systolic bulge when heart is almost empty[quizlet.com] […] and is performing near isometric contraction -double carotid arterial pulses: first arterial pulse is light, second is stronger -systolic ejection crescendo-decrescendo murmur[quizlet.com] […] cardiomegaly, fatigue extra clinical manifestations of hypertrophic cardiomyopathy -murmur is increased with valsalva or standing bc of decreased preload -feel LV heave or lift -double[quizlet.com]

  • Familial Hypertrophic Cardiomyopathy 20

    […] carotid arterial pulse Apical precordial impulse that is displaced laterally and usually is abnormally forceful and enlarged Systolic ejection crescendo-decrescendo murmur[emedicine.medscape.com] apical impulse or triple apical impulse (less common) Normal first heart sound; second heart sound usually is normally split but is paradoxically split in some patients with[emedicine.medscape.com] […] severe outflow gradients; S3 gallop is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double[emedicine.medscape.com]

  • Cardiac Hypertrophy

    […] carotid arterial pulse Apical precordial impulse that is displaced laterally and usually is abnormally forceful and enlarged Systolic ejection crescendo-decrescendo murmur[emedicine.medscape.com] apical impulse or triple apical impulse (less common) Normal first heart sound; second heart sound usually is normally split but is paradoxically split in some patients with[emedicine.medscape.com] […] severe outflow gradients; S3 gallop is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double[emedicine.medscape.com]

  • Familial Hypertrophic Cardiomyopathy 1

    […] carotid arterial pulse Apical precordial impulse that is displaced laterally and usually is abnormally forceful and enlarged Systolic ejection crescendo-decrescendo murmur[emedicine.medscape.com] apical impulse or triple apical impulse (less common) Normal first heart sound; second heart sound usually is normally split but is paradoxically split in some patients with[emedicine.medscape.com] […] severe outflow gradients; S3 gallop is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double[emedicine.medscape.com]

  • Familial Hypertrophic Cardiomyopathy Type 21

    […] carotid arterial pulse Apical precordial impulse that is displaced laterally and usually is abnormally forceful and enlarged Systolic ejection crescendo-decrescendo murmur[emedicine.medscape.com] apical impulse or triple apical impulse (less common) Normal first heart sound; second heart sound usually is normally split but is paradoxically split in some patients with[emedicine.medscape.com] […] severe outflow gradients; S3 gallop is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double[emedicine.medscape.com]

  • Familial Hypertrophic Cardiomyopathy Type 6

    […] carotid arterial pulse Apical precordial impulse that is displaced laterally and usually is abnormally forceful and enlarged Systolic ejection crescendo-decrescendo murmur[emedicine.medscape.com] apical impulse or triple apical impulse (less common) Normal first heart sound; second heart sound usually is normally split but is paradoxically split in some patients with[emedicine.medscape.com] […] severe outflow gradients; S3 gallop is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double[emedicine.medscape.com]

  • Familial Hypertrophic Cardiomyopathy 12

    […] carotid arterial pulse Apical precordial impulse that is displaced laterally and usually is abnormally forceful and enlarged Systolic ejection crescendo-decrescendo murmur[emedicine.medscape.com] apical impulse or triple apical impulse (less common) Normal first heart sound; second heart sound usually is normally split but is paradoxically split in some patients with[emedicine.medscape.com] […] severe outflow gradients; S3 gallop is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double[emedicine.medscape.com]

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