The point of maximal impulse, known as PMI, is the location at which the cardiac impulse can be best palpated on the chest wall. Frequently, ...

Examination and Palpation of the Apical Impulse (Point of Maximal Impulse) After examining the neck veins, the next step is to see if the apical impulse, also called the apex beat and point of ...

Physical examination in the emergency department reveals normal heart sounds, laterally displaced point of maximal impulse (PMI), and no jugular vein distention.

An S3 heart sound is present, and the point of maximal impulse, or PMI, is laterally displaced; no S4 is heard. There is 3+ pitting edema up to his knees.

To the Editor: I wish to report yet one more use for the ubiquitous Post-it, this time as an aid in cardiac physical diagnosis. The adhesive on Post-it notes consists of tiny spheres that are stick ...

Physical examination revealed an obese woman in no distress. The lungs were normal. Examination of the heart showed the point of maximum impulse to be at the left mid-clavicular line.

Note the point where the percussion notes changes slightly. Then move up to the fourth intercostal space and repeat the process. Check the relationship between the cardiac border and the PMI.