Displaced Point of Maximal Impulse

Patient 1:

This is an older man with familial cardiomyopathy, admitted with cardiogenic shock. Note the laterally displaced point of maximal impulse. You can also appreciate an extra bounce in the Q-tip from a gallop.

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Patient 1

Patient 1:

This is an older man with familial cardiomyopathy, admitted with cardiogenic shock. Note the laterally displaced point of maximal impulse. You can also appreciate an extra bounce in the Q-tip from a gallop.