You are incorrect - our patient's precordial movement at the apex is best described as non displaced and early systolic.


Your choice: Non displaced, sustained systolic

This apical impulse is non displaced and sustained systolic. A sustained apical impulse typically reflects a pressure, or afterloaded, left ventricle, as seen in patients with longstanding systemic hypertension. In the video, note the sustained contour of the precordial impulse, as illustrated by the cotton swab. The cotton swab over the carotid artery identifies ventricular systole.

Hyperkinetic