Abnormal LV apical impulse

Hi everyone, after having understood how a normal apical impulse is produced in one of my previous videos; in this video I shall explore the mechanisms behind abnormal apical impulses produced by the LV. Enjoy!
PDF link of slides: drive.google.com/file/d/16x9Z...
❓ Active recall questions:
1. What are the types of abnormal LV apical impulse?
2. Describe the components of a normal precordial impulse?
3. What are the characteristics of a normal LV apical impulse?
4. What is the mechanism of a hyperdynamic LV apical impulse?
5. What is the mechanism of a sustained LV apical impulse?
6. How do you suspect a sustained LV apical impulse clinically?
7. What does a tapping impulse indicate?
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: 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.

[@heisenbergdalton332]

amazing

[@tonylasala2984]

Very good explanation of the normal apical impulse or the PMI. It has been written that only God knows the explanation of the E Wave. Why would there be a brief expansion of the LV in early systole when the LV should be emptying and moving away from the chest wall. A possible explanation is isovolumic contraction. During this early period of systole, the longitudinal fibers in the subendocardial portion of the LV are activated to prepare the LV for ejection of its content. The mitral apparatus being attached to the top of these fibers is pulled down toward the apex of the LV. Given the absence of long. fibers in the apex, the apex bulges giving rise to the outward motion of the E wave. The shoulder in the down stroke of the E wave is LV suction. Tony LaSala MD.

[@Rehanabmw]

Excellent ❤ explanation

[@kktripathi5288]

Superb

[@dr.sanjivaniinamdar1005]

Wonderful and thorough description of basic Cardiology of abnormal apical impulse

[@AnsaIthalSaysHi]

Thanks for the video!

[@asheshnagar]

crisp and clear

[@SecretNAatkha786]

Superb 👍👍👍👍

[@helioferreiralopesfilho4477]

Great explanation

[@sachinhamand8670]

Thanks🙏

[@sharmilabrabhakaran634]

Very nice video madam. Can u please describe about RV apical impulse. I think that will complete it

[@mukeshgarhwal7593]

Make regular video s