Normal apical impulse
Channel: Cardiology and Beyond
Date: 2020-04-22

Hey everyone, in this video of clinical examination I introduce the physics behind a normal, palpable apical impulse…it is quite fascinating! The pathologic precordial impulses will be dealt with in another video. Stay tuned!

PDF link of slides: https://drive.google.com/file/d/1dSqpgOeCP69AfPkPNFR-FCR6ohv7ynut/view?usp=sharing

❓ Active recall questions: 
1. What is the apical impulse? 
2. With what heart sound does the apical impulse coincide with?
3. Explain the physics behind apical impulse?
4. What is the mechanism of a palpable apical impulse?
5. What is the force and extent of apical impulse that is felt on the chest wall dependent on?
6. Describe the components of a normal precordial impulse?
7. What are the characteristics of a normal LV apical impulse?
8. Can apical impulse be examined in left lateral decubitus?
9. Where is the RV normally located?
10. If RV is closer to the chest wall than the LV, why isn’t it normally palpable?
11. Are diastolic events normally palpable?

About me:
I am Dr. Sonali, an interventional cardiologist from India. I have a special interest in cardiology academics & teaching with an emphasis on building clear concepts with clinical correlation. My channel "Cardiology and Beyond" serves to achieve the same...I hope you  find it useful in your clinical practice. 

Connect with me: 
🐤Twitter: https://twitter.com/SonaliInamdar21
📸 Instagram: https://www.instagram.com/sonaliinamdar
📩 Email: cardiologyandbeyond@gmail.com

Whiteboard app used: Explain Everything. 

References:
1. Clinical Examination in Cardiology, B.N. Vijay Raghawa Rao.
2. Clinical Methods in Cardiology, B Soma Raju.
3. Essentials of Cardiac Physical Diagnosis, Jonathan Abrams.
4. The Art and Science of Cardiac Physical Examination, N Ranganathan, V Sivaciyan, F B Saksena.