MEDICINE
CARDIOLOGY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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medial aspect of the chest, just below the third intercostal space.
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left lateral chest, in the midaxillary line, at the fourth intercostal space.
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left anterior chest, in the midaxillary line, at the fifth intercostal space.
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left anterior chest, in the midclavicular line, at the fifth intercostal space.
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Detailed explanation-1: -The point of maximal impulse, known as PMI, is the location at which the cardiac impulse can be best palpated on the chest wall. Frequently, this is at the fifth intercostal space at the midclavicular line. When dilated cardiomyopathy is present, this can be shifted laterally.
Detailed explanation-2: -Use the palm of your hand to feel the chest wall for the “Point of Maximal Impulse” (PMI), which is usually found at the apex of the heart. This apical pulse is generally located in the 5th intercostal space, about 7-9 cm (the width of your palm) to the left of the midline.
Detailed explanation-3: -The apex beat (lat. ictus cordis), also called the apical impulse, is the pulse felt at the point of maximum impulse (PMI), which is the point on the precordium farthest outwards (laterally) and downwards (inferiorly) from the sternum at which the cardiac impulse can be felt.
Detailed explanation-4: -The point of maximal impulse normally is over the left ventricular (LV) apex beat and should be located in the midclavicular line at the fifth intercostal space.