Left ventricular aneurysm physical examination

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Left ventricular aneurysm Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Overview

Physical exam

Common physical findings of LV aneurysm include:

Palpation
  • Diffuse, sustained apical systolic thrust and a double impulse.
  • Displaced apical impulse to the left of the mid clavicular line.
Auscultation
  • Third heart sound (S3) and often a fourth sound (S4) are present.
  • There may be an apical pansystolic murmur due to LV wall anatomical distortion an if mitral regurgitation is present.

References


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