<P> The apex beat ( lat . ictus cordis ) , also called the apical impulse , is the pulse felt at the point of maximum impulse ( PMI ) , which is the point on the precordium farthest outwards ( laterally ) and downwards ( inferiorly ) from the sternum at which the cardiac impulse can be felt . The cardiac impulse is the vibration resulting from the heart rotating , moving forward and striking against the chest wall during systole . The PMI is not the apex of the heart but is on the precordium not far from it . </P>
<P> The apex beat ( lat . ictus cordis ) , also called the apical impulse , is the pulse felt at the point of maximum impulse ( PMI ) , which is the point on the precordium farthest outwards ( laterally ) and downwards ( inferiorly ) from the sternum at which the cardiac impulse can be felt . The cardiac impulse is the vibration resulting from the heart rotating , moving forward and striking against the chest wall during systole . The PMI is not the apex of the heart but is on the precordium not far from it . </P>
where is the point of maximal impulse ( pmi ) normally located
where is the point of maximal impulse ( pmi ) normally located
the point on the precordium farthest outwards ( laterally ) and downwards ( inferiorly ) from the sternum at which the cardiac impulse can be felt
the point on the precordium farthest outwards ( laterally ) and downwards ( inferiorly ) from the sternum at which the cardiac impulse can be felt