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Cardio Exam

Abnormal Pulsations



Palpating the praecordium for palpable heaves and thrills may provide valuable clues regarding the patient's cardiac pathology.

Parasternal Heave

Left parasternal heave is a sign of right ventricular hypertrophy.
  • How to Elicit

  • Place the thenar eminence of the hand over the left side of the sternum, palpating for an abnormal pulsation.
  • Parasternal Heave

Palpable Thrill

A thrill is a palpable murmur. The location corresponds to the affected valve.
  • Feel For

  • Vibratory movement of the chest wall caused by turbulent flow over a heart valve.
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