Hyperactive precordium
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Hyperactive precordium means the pathologic etiology of a hyperdynamic precordium. The
Hyperdynamic precordium refers to a physical finding that the heart beats strong enough to be palpated when one touches the precordial area (left lower chest). One can detect/palpate the forceful and hyperdynamic impulse of the precordial area during the cardiac examination. The forceful and hyperdynamic finding is appreciated as a fast impulse with a large amplitude that terminates quickly and does not sustain during the whole systolic phase of the heartbeat.[1] Hyperdynamic precordium can represent a diseased status or just a normal finding of vigorous exercise or sudden, intense fear. The difference between hyperactive precordium and hyperdynamic precordium is that the former indicates the palpability of heartbeat with a pathological cause.[2]
Possible causes of this forceful and hyperdynamic finding include as following:
- state of increased volume work
- exercise
- hypermetabolic status, such as anemia, hyperthyroidism, high cardiac-output
- volume overload status of the heart, such as severe aortic regurgitation(AR), severe mitral regurgitation(MR) or large left-to-right shunt.[3]
References[edit]
- ↑ "Precordial Movements in the Cardiac Exam". Stanford Medicine 25 (in Gagana Samoa). Retrieved 2024-02-11.
- ↑ "What is a hyperactive precordium?". Quora. Retrieved 2024-02-11.
- ↑ Brian P. Griffin; Samir R. Kapadia; Venu Menon. The Cleveland Clinic Cardiology Board Review, third edition. Search this book on
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