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, this is at the fifth intercostal space at the ...
The point of maximal impulse is displaced laterally and caudally due to LV dilation and hypertrophy. On auscultation, the typical murmur of aortic regurgitation is a soft, high-pitched ...