Examination findings in severe Mitral regurgitation Displaced heaving apex beat plus parasternal heave Soft S1...Holosystolic murmur at apex radiating to axilla louder in held Expiration and accelerated by hand grip Peripheral pulses are high volume.. | Cardiovascular Education

Apex beat The “apex beat” or “apical impulse” is the palpable cardiac impulse farthest away from the sternum and farthest down on the chest wall, usually caused by the left ventricle and located near the midclavicular line in the fifth intercostal space. | Dr. Najeeb