Parasternal heave

This presentation tells about parasternal heave, its significance and grades.

1. بسم الله الرحمن الرحیم

2. parasternal heave Significance and Grades

3. parasternal heave Indicates forward (anterior) movement of lower left parasternal area. Palpated with the base or ulnar aspect of hand. Three grades. Grade 1: Visible impulse but not palpable. Grade 2: Visible and palpable but obliterable with pressure. Grade 3: Visible and palpable but not obliterable with pressure. Seen in right ventricular enlargement (as in atrial septal defect, ventricular septal defect, pulmonic stenosis, pulmonary hypertension ) and left atrial enlargement.