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Apex beat The “apex beat” or “apical impulse” is the palpable cardiac impulse farthest away from the sternum and farthest down on the chest wall, usually caused by the left ventricle and located near the midclavicular line in the fifth intercostal space. | Dr. Najeeb

Examination findings in Aortic Regurgitation Heaving Displaced apex beat with diastolic thrill Soft A2 early diastolic murmur throughout precordium but best heared in left parasternal border third intercostal space which is increased in intensity in held Expiration and leaning forwards. | Cardiovascular Education