An apical PMI palpated beyond the fifth intercostal space may indicate:
A) decreased cardiac output.
B) obesity.
C) left ventricular hypertrophy.
D) hyperventilation.

Question

Quizplus · Accepted Answer

An apical impulse that is more forceful and widely distributed, fills systole, or is displaced laterally and downward may be indicative of left ventricular hypertrophy. Obesity, large breasts, and muscularity can obscure the visibility of the apical impulse.

An Apical PMI Palpated Beyond the Fifth Intercostal Space May