The chest has a slight pectus deformity. The apical impulse is normal. S 1 and S 2 are normal, with normal splitting. A soft S 3 is heard at the apex, and there is no S 4 . The murmur decreases with Valsalva's maneuver but increases after the young man does 10 sit-ups.
Peripheral pulses are normal.
Electrocardiogram shows sinus bradycardia, sinus arrhythmia with pauses up to 1.5 seconds, and normal QRS axis and morphology for his age. Make sure you get the best price. All rights reserved.