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Method of palpation of heart

Ask the patient to sit and lean forward standing on the right side of the patient, put your right palm
over the sternum transversely in such a way that your fingers lie over the pulmonanary area, centre of the palm rests over the sternum and thenar hypothenar eminences lie over the aortic area.
What to palpate?
  • Pulsation.
  • Palpable heart sounds
  • Thrill.
Causes of pulsation over the pulmonary area
  • Severe pulmonary hypertension.
  • Atrial septal defect-ASD
  • Patent ductus arteriosus-PDA.
  • Ventricular septal defect-VSD.
  • Idiopathic dilatation of pulmonary artery.