HYPER DYNAMIC APICAL IMPULSE *********************************************** Seen LV volume overloaded states like severe mitral or aortic regurgitation (causing LV dilatation) Apical impulse occupies 2 or more intercostal spaces or >3 sq.cm area There is increase in amplitude but the duration may remain normal. | Medical Snippet

Clinical and surgical implications of the presence of hyperdynamic apical impulse are that the patient is having a preserved left ventricular function and will have a good surgical outcome. | Medical Snippet