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What is the significance of left parasternal heave. Is it of diagnostic significance. What should we look for when we see it in the case scenario.
 

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I am sorry I confused with Pulsations and the Right answer is: LT Parasternal heave : due to RT Ventricle hypertrophy due to pressure overload( i.e not volume overload which cause hyperdynamic )
 

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Right ventricular heave (in left parasternal area) may indicate right ventricular dilatation also (such as in dilated cardiomyopathy)...

Note:

Right ventricular heave --> right ventricular hypertrophy or dilatation
Left ventricular heave --> left ventricular hypertrophy ONLY

Left ventricular dilatation is represented by displaced apex beat...
 

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Right ventricular heave (in left parasternal area) may indicate right ventricular dilatation also (such as in dilated cardiomyopathy)...

Note:

Right ventricular heave --> right ventricular hypertrophy or dilatation
Left ventricular heave --> left ventricular hypertrophy ONLY

Left ventricular dilatation is represented by displaced apex beat...
so on which part of the precordium can the left ventricular hypertrophy be palpated?
like right ventricular hypertrophy gives a left parasternal heave?
 
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