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Left Parasternal Heave
A left parasternal heave (or parasternal lift) is a sustained, palpable precordial impulse that visibly and physically lifts the heel of the examiner's hand during ventricular systole. That is systolic elevation of left costal cartilages. It is the hallmark physical sign of right ventricular hypertrophy (RVH) or severe right ventricular ...
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