Normal apical impulse

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: drive.google.com/file/d/1dSqp...
❓ 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: / sonaliinamdar21
📸 Instagram: / sonaliinamdar
📩 Email: [e-mail]
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.

[@khaledm.elrefaey3798]

This is just mind blowing. Thanks a lot.

[@vigneshmallya9778]

Yup , enjoyed listening to ur class Mam , fully professional

[@shubhanshgiri7729]

Very crisp and clear explanation

[@atchayas4891]

Amazing class.enjoyed.best explanation ever.

[@dr.sanjivaniinamdar1005]

Very basic and important topic made easy

[@varshharsh2554]

It was so good !! Physics and medicine woww

[@13amitkumar60]

Very helpful.....thanks doxaab ❤️

[@yanoliveira2171]

Thanks for the video!

[@indianauthor7330]

Wonderful session thank you so much mam

[@phuongdo7108]

Thank you very much

[@13ankitjain60]

Please make video on Pulse characters & pulse deficit !!

[@naveena1928]

Thank u so much mam

[@AnsaIthalSaysHi]

Mechanism of palpable apical impulse: diagram shows hear in parasagittal plane, left part of the diagram faces anterior direction.

[@ooovi1707]

Wonderful

[@ooovi1707]

Please make videos on s1 and s2

[@cardiologyandbeyond6433]

Thanks for the feedback