Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Left ventricular aneurysm physical examination
Introduction
Overview
Overview
The physical examination findings on cardiac examination in patients with LV aneurysm include a diffuse and displaced apical impulse, S3 and/or S4 heart sounds, and murmur of mitral regurgitation.
Physical exam
Physical exam
Appearance of the patient
Patients are usually well-appearing.
Vital signs
High blood pressure with normal pulse pressure may be seen. Tachycardia is another finding.
Cardiovascular
Common findings in patients with LV aneurysm include:[1]
- Palpation
- Diffuse, sustained apical systolic thrust and a double impulse.
- 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).
- There may be an apical pansystolic murmur due to the LV wall anatomical distortion, and also from mitral regurgitation, if present.
References
References
- ↑ Mann, Douglas (2015). Braunwald’s heart disease : a textbook of cardiovascular medicine. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455751341.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]