Top 20 Doctor insights on: Apical pulse diameter

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When nervous my apical pulse diameter is wider >3cm lying on left, when calm my apical pulse diameter becomes small <3cm. Why? Do I have cardiomegaly?

Inaccurate: The apical pulse suggests cardiomegaly by its displacement laterally, not by its size which is not predictive. Moreover, it's nothing more than a bedside screening procedure with notorious inaccuracy unless you're very experienced in its interpretation. If you're worried, get a chest xray (or an echocardiogram). ...Read more

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When nervous my apical pulse diameter is wider >3cm lying on left, when calm my apical pulse diameter becomes small <3cm. Why? Do I have cardiomegaly?

When nervous my apical pulse diameter is wider >3cm lying on left, when calm my apical pulse diameter becomes small <3cm. Why? Do I have cardiomegaly?

Forgive me: I am curious on how you can find an apical impulse greater than 3cm? How do you feel that because as a Cardiologist I cant distinguish such a thing. ...Read more

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March 2014 ECG is normal. I'm afraid I have cardiomegaly. I measured my apical pulse when lying left side think its >3cm in diameter. Please help?

Cardiomegaly: Suggest you obtain a medical opinion from a doctor who can examine you, and not try to self diagnosis this condition. ...Read more

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March 2014 ECG is normal. I'm afraid I have cardiomegaly. I measured my apical pulse when lying left side think its >3cm in diameter. Please help! ?

March 2014 ECG is normal. I'm afraid I have cardiomegaly. I measured my apical pulse when lying left side think its >3cm in diameter. Please help! ?

Questions: Do you have shortness of breath when you walk? Do you have a hard time lying flat in bed at night? Any chest pains? Do you have hypertension? Cardiomegaly is more likely to be present if you have one or more of these symptoms. Although your best guess estimation by physical exam may be correct, I wouldn't fret. To confirm, best to get a 2 view chest x-ray, or even better get cardiac ultrasound. ...Read more

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Last march 2014 ECG is normal. I'm afraid I have cardiomegaly. I measured my apical pulse when lying left side think its >3cm in diameter. Please help!

It depends: A prominent apical pulse may be sensitive but not specific for a large heart - it is easier to feel your heart when you lie on your left side anyway (i can feel mine) - that being said - hypertension can enlarge the heart - the best way to "measure" the heart size in general is an Echo (chest xray is poor, cardiac MRI gold standard but probably overkill in general) ...Read more

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Last march 2014 ECG is normal. I'm afraid I have cardiomegaly. I measured my apical pulse when lying left side think its >3cm in diameter. Please help?

Echocardiogram: Not sure where you got the information to do that and measure it. Yes a displaced apical impulse can suggest hypertrophy but from there jumping to a conclusion that you have cardiomegaly is a stretch. If you are concerned about this speak with your md. He will order an echocardiogram if he believes it necesary and take it from there. ...Read more

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How do you find the apical pulse?

How do you find the apical pulse?

Hand on Lt chest: Lt 5th intercostal space 1/2 inch inside the MCL. ...Read more

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What is the difference between an apical pulse and a point of maximum impulse?

What is the difference between an apical pulse and a point of maximum impulse?

Med school question: The apical pulse is the heartbeat beat you feel at the apex of your heart (the radial pulse is what you feel on your wrist.
The PMI is the area on your chest where you feel the contraction of the heart the strongest (usually below the left nipple. ...Read more

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Can you tell me how is an apical, radial pulse obtained?

Can you tell me how is an apical, radial pulse obtained?

Radial vs apical: Radial is taken by counting pulsation at the wrist (radial artery).
Apical is taken by listening to the apex of the heart in the chest wall. It may be more accurate when extra beats are present. ...Read more

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What does it mean if a patients apical and radial pulses are very different?

What does it mean if a patients apical and radial pulses are very different?

Arrhythmia: This is known as a pulse deficit. Some of the heart beats are not being transmitted to the peripherery, i.E radial pulse. Common causes are atrial fibrillation or premature ventricular contractions (pvcs). ...Read more

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When checking apical pulse how do you make sure you are in the right spot on chest?

When checking apical pulse how do you make sure you are in the right spot on chest?

Feel: The apical pulse is felt by put the hand on the chest and using the heel of the hand to palpate the point of maximum impulse. This should be fairly easy to tell ...Read more

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How would you take an apical pulse? I've heard this is the most accurate, but never looked into it, as my doc recommends I take my pulse once a day.

Take it at wrist: The apical pulse is taken at the apex of the heart. This is taken by using your stethoscope. The wrist pulse is just fine and is free. You do not need to buy a stethoscope. This will do just fine.
Best to you ...Read more

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Aside from apical pulse. I can feel other pulsation from my chest when lying on left side. Pls help me! Is this cardiomegaly?

Not sure: Most people with cardiomegaly do not feel the enlarged heart, but have other symptoms like leg swelling and shortness of breath. That being said, a doctor can tell by a physical exasm and conform with an x-ray or echocardiogram if your heart is enlarged ...Read more

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Why is my apical pulse much stronger and almost beating thru my chest when my heart rate is slow? Because when it speeds up like 80 BPM you don't feel it??

Why is my apical pulse much stronger and almost beating thru my chest when my heart rate is slow? Because when it speeds up like 80 BPM you don't feel it??

Pulse: When your heart is slow there is more time to fill and each stroke may have a larger volume of blood explaining why you're feeling it. With the higher rate, there isn't as much time to fill so each stroke's volume may be lower and not felt as much. ...Read more

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How can you differentiate the apical pulse from the other heart movements?

How can you differentiate the apical pulse from the other heart movements?

By location: The heart's location is sufficiently the same in the chest cavity of most adults that the pulsation from the tip/apex can be palpated/felt. Trace a line down the chest from the mid-point of the collar bone (mid-clavicular line) and then feel between the ribs. The apex of the heart is between the 5th and 6th ribs (5th intercostal space). An left parasternal lift, for example, is felt by the sternum! ...Read more

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When I listen to my apical pulse I hear gurgling in my heart. It sounds like mt stomach but its in my chest. What does this mean?

When I listen to my apical pulse I hear gurgling in my heart. It sounds like mt stomach but its in my chest. What does this mean?

Pulsatile tinnitus: Is a rhythmical noise that has the same rate as the heart. This is easily checked by feeling the arm pulse at the same time as listening to the tinnitus. Pulsatile tinnitus is due to a change in blood flow in the vessels near the ear. ...Read more

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