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The apex beat (lat. ictus cordis), also called the apical impulse, [1] 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.
The heart is a muscular organ situated in the mediastinum.It consists of four chambers, four valves, two main arteries (the coronary arteries), and the conduction system. The left and right sides of the heart have different functions: the right side receives de-oxygenated blood through the superior and inferior venae cavae and pumps blood to the lungs through the pulmonary artery, and the left ...
The apex beat is found approximately in the fifth left intercostal space in the mid-clavicular line. It can be impalpable for a variety of reasons including obesity, emphysema, effusion and rarely dextrocardia. The apex beat is assessed for size, amplitude, location, impulse and duration.
It is located on the diaphragmatic surface of the heart [1] [2] near the right margin. [2] It extends between the coronary sulcus and the (notch of [ 2 ] ) apex of the heart. It contains the posterior interventricular artery and middle cardiac vein .
The anterior interventricular sulcus and posterior interventricular sulcus extend from the base of the ventricular portion to a notch, the notch of cardiac apex, (or incisura apicis cordis) on the acute margin of the heart just to the right of the apex.
The left ventricle is longer and more conical in shape than the right, and on transverse section its concavity presents an oval or nearly circular outline. It forms a small part of the sternocostal surface and a considerable part of the diaphragmatic surface of the heart; it also forms the apex of the heart.
The heart is a muscular organ found in humans and other animals. This organ pumps blood through the blood vessels. [1] Heart and blood vessels together make the circulatory system. [2] The pumped blood carries oxygen and nutrients to the tissue, while carrying metabolic waste such as carbon dioxide to the lungs. [3]
In the coronary circulation, the posterior descending artery (PDA), also called the posterior interventricular artery (PIV, PIA, or PIVA), is an artery running in the posterior interventricular sulcus to the apex of the heart where it meets with the left anterior descending artery also known as the anterior interventricular artery.