point of maximum impulse (PMI)
In the field of cardiology, the apical thrust, also referred to as apex beat or cardiac impulse, is the beat of the left ventricular contraction. It can be palpitated.
If the heart rate is slow (below 60 bmp) and if digoxin is given, it can reduce the heart rate to dangerous levels.
apical pulse is actually the heartbeat
the heart
An apical is ontop of an epitheilial cell
an apical cell is the top layer of the epidermis.
The apical pulse may be a little bit faster than say a radial pulse because of the slight lag in time as blood rushes from the heart into larger arteries. Any LARGE difference between the values of apical and other pulses observed is called a PULSE DEFICIT. This could indicate a cardiac impairment (i.e. a weakened heart).
To FEEL for the apical pulse, the "equipment" required is either the fingers and or palm of the hand and a stopwatch or watch with a second hand to count the apical rate. The cardiac apical impulse or point of maximum impulse (PMI) is located along the mid-claviclar line approx. 7-9 cm (about 3") left of the sternum within the 5th intercostal rib cage space just under the left breast. As for LISTENING to the apical pulse, one needs to emply the use of a stethoscope in order to auscultate the heart beat. The chestpiece of the stethoscope should be applied to the bare skin directly upon the PMI where heart sounds are the loudest.
apical pulse has to be listened to for 1 full minute
the bud at the terminal end of the stem is an apical bud
An apical is a sound produced by obstructing the air passage with the tip of the tongue.
What is the icd code for apical defect