What are the causes of pulsation in different areas of precordium
1.
AR
2.
Hyperdynamic circulation
such as anemia, thyrotoxicosis, fever
3.
Aortic aneurysm
4.
Atherosclerosis
5.
Exertion, emotions,
excitement
6.
Kinked carotid artery
Causes of pulsations in
suprasternal notch
1.
Hyperkinetic circulation
2.
AR
3.
Coarctation of aorta
4.
Aneurysm of arch of aorta
5.
Unfolding of arch of aorta
6.
High arch of aorta
Pulsations in pulmonary area is seen in
1.
Children
2.
PAH (pulmonary artery
hypertension)
3.
ASD (atrial septal defect)
4.
VSD (Ventricular septal defect)
5.
PDA (Patent ductus
arteriosus)
6.
Idiopathic dilatation of
pulmonary artery
Causes of left parasternal
pulsation
1. Right ventricular
hypotrophy
2. Left atrial hypertrophy
2. Left atrial hypertrophy
3. Atrial septal defect
Causes
of right parasternal pulsations
1.
Dextrocardia
2.
Dextroversion
3.
Aneurysm of ascending aorta
4.
Right atrial hypertrophy
due to any cause.
Causes of epigastric
pulsation
1.
Excitement in thin person
2.
RVH
3.
Aneurysm of abdominal aorta
4.
Transmitted hepatic
pulsations in tricuspid incompetence
Pulsation at back
1. Coarctation of aorta
(Suzman’s sign)
2. Pulmonary AV fistula
Juxta apical pulsation
