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A member asked:
Is this a sign of an enlarged heart? it sometimes feels like the point of maximum impulse (pmi) shifts up and down from the 5th to 4th or intercostal space or even 3rd when i'm breathing or in different positions..thanks?
2 doctors weighed in across 2 answers
It is not feasible to provide a meaningful opinion without taking additional history, physical examination and may be some tests. It would be prudent to see your doctor and discuss if you may be depressed. Counter-intuitive as it may seem, exercise may help. Start with low intensity exercise such as walking and gradually increase the intensity as tolerated. Drink more water. Wish you good health!
Answered 4/3/2021
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If the heart is truly enlarged, the palpable heart impulse should not vary in location to the degree described by you. I applaud your apparent skills but urge you to see a qualified physician. You will obviously receive a reliable explanation.
Answered 4/30/2021
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