- Hyper dynamic apical impulse
- Seen in volume overload
- Seen as forceful and sustained beats in left ventricular diastolic overload
- Conditions associated
- Mitral regurgitation
- Aortic regurgitation
- VSD
- PDA
- Heaving apical impulse
- Seen as forceful and well sustained heave
- Generally seen in pressure overload of left ventricular
- Conditions associated
- Aortic stenosis
- Systemic hypertension
- Coarctation of aorta
- Obstructive cardiomyopathy
- Tapping apex beat
- Denotes loud first heart sound
- Seen in Mitral stenosis
- Hypokinetic apex beat
- Seen in
- Pericardial effusion
- Constrictive pericarditis
- Myocardial infarction