288
2254147819011156112
Apex9935960128101171234304
beat.1332596012873136197236272
The1642596012886154217
apex1894596012864135198267
beat2196596012872135197235
is246759601284196
a2598596012865
physiological2698596012872143213266305375415484554593656717755
pulsation3489596012872142181236298337375446516
in4040596012841111
the4186596012841112175
area4395596012865112174237
where46695960128101171234280343
the5046596012842112180
apex5261596012865135196266
of851839012870117
the1003839012843112175
heart1213839012874135198245284
is153283901284196
projected1664839012872119188228289352391453523
onto2222839012874143183253
the2510839012842112175
anterior2720839012865135174236282322391438
chest3193839012866135198252291
wall,35238390128101163202240276
caused3834839012865127196252314383
by4253839012873144
the4430839012842113176
work46448390128102171218287
of4967839012873121
the5123839012841111174
left5332839012841104150187
ventricle.8511080012870133202241289327389427490525
During99313210128101171218257327397
the14261321012837107170
inspection,16311321012839109164234296358397435506575611
the22771321012838109172
following24841321012846115155193263365403473543
properties30611321012870118187257320366404443506559
of36561321012870116
the38071321012839108171
apex40131321012863131194264
beat43111321012871133196234
are45801321012863108170
determined:47851321012871133171234281390427497560630669
10311572012865
localization;12111572012839110172234273311374436474514583653693
10311824012865
area;12111824012862109172234273
10312076012865
height.12112076012870133172242311351387
In10312318012847117
normal11842318012870140187296356395
conditions,16142318012863133203274312352390460530584620
the22682318012839109172
apex24752318012863132195264
beat27742318012871133195233
is3043231801283994
located31722318012842111174236274336406
in36142318012839109
the37582318012840109172
5th39652318012870109178
intercostal41792318012839109148210257319389443482544583
space47972318012855125188250312
1.551442318012870106174
cm53542318012863172
inside8512559012839110164203273336
the12212559012842111174
left14302559012841104151189
mid-clavicular165725590128110146217266328366428498538599670708771818
line2509255901284280151213
for27572559012850119166
individuals29582559012841112181220291329400469532570625
with362125590128101140178249
a39042559012866
normosthenic40052559012872143189298366421460530593662701764
body48032559012873143213283
type.51202559012842113181244279
It5434255901285089
is851280101283994
medially98128010128153213283323385423463533
displaced154828010128114153207278316379441504573
(221562801012891161
cm235328010128106216
inside26012801012883154209247317380
the30162801012883153215
mid-clavicular326528010128155191262313375414476546585647717756819864
line)41642801012883122193254300
in44992801012883154
asthenics468828010128106160198269332401439502556
and527928010128106175245
laterally8513042012839102141203249312350389460
displaced134430420128136175229300338401464526595
(1197530420128111181
cm219230420128127237
inside246130420128105176231269340402
the289930420128103173235
mid-clavicular317030420128173210281331393432495565604667736775837884
line)408930420128105143213276323
in444630420128104175
hypersthenics.465630420128135205274337383438476547609679717780834869
Approximately85132840128101171242289358428467577637676738777848
20%17323284012872143260
of20273284012872119
healthy21813284012873135197236274345415
individuals26303284012841111181220290328399469531569624
have32893284012872135205267
the35913284012841111173
apex37993284012865135197267
beat41023284012870133196233
on43713284012872142
the45483284012841111174
rib,4757328401284988157193
making498632840128110170246286356426
it5448328401283978
invisible8513525012839110179219273311382420483
in13693525012838108
this15133525012837108147202
case.17503525012861123178240275
The10313767012886155218
area12843767012869116179241
of15603767012876123
the17183767012845116177
apex19303767012870140202272
beat22373767012876139201239
is25123767012846100
the26473767012846116178
pulsating28603767012876146185239302341380449520
area34153767012868115177240
of36903767012877123
the38483767012846116179
anterior40623767012869138177239286325395442
chest45393767012869138201255294
wall487537670128102163201241
during51513767012876147193231300370
the8514009012839110172
apex105940090128100169232301
beat,139540090128108170233272307
typically17374009012877148216255317378417457528
1-2229840090128108158228
cm²256140090128101210250
in28464009012877147
size.30294009012892132194255290
The335540090128124193256
height364640090128109171209280350389
of407040090128107155
the42604009012877146208
apex450340090128101171234303
beat484140090128109171233272
is51484009012877131
the53154009012877146209
amplitude8514250012862173241280319358428498561
of14464250012883130
oscillations16104250012883137200238277316378416456525596650
of22964250012881128
the24604250012850120183
anterior26784250012875144183245292331401448
chest31614250012874143206260299
wall350842500128101163201241
during37834250012883153200238308378
the41974250012850120183
apex44154250012874144207276
beat,47264250012882145207245281
with505442500128102140178249
the53384250012851121183
average8514491012862133195242305374437
height13214491012870133171242311350
being17064491012871133171242311
normal.20514491012870141188298357396432
Pathological10314733012878140179249320358429498537600662700
pulsations17664733012871140179233296334374443513568
in23694733012838109
the25134733012838108170
area27184733012862109171234
of29854733012871118
the31384733012839108171
heart33434733012870132194241280
and36584733012863132201
major389547330128109169209278326
blood42564733012870109179248319
vessels.46094733012870137191245308346401437
10654984012865
Сardiac12054984012894156203273312374437
beat16774984012885147209248
is19614984012854109
a21054984012878
diffuse22184984012885124171217287342404
pulsation26574984012885156194248311350389458529
in32214984012855124
the33814984012854124186
precordial36014984012886133195257328374444483545583
area42204984012877124186249
in45044984012854124
the46644984012854123185
area48844984012878124187249
of51684984012886133
the53364984012854124187
3rd-4th-5th8515225012870117188234304343412460530568638
intercostal15245225012883153192255301363433488526588627
space21865225012899169231294355
to25765225012883153
the27645225012883153216
left30155225012883145191230
of328052250128114161
the34765225012883153216
sternum.37275225012899137200247316385495528
It42905225012890129
is44565225012883138
caused462952250128107169238292355425
by509052250128113183
the53075225012883153215
contraction8515468012862133202242289351412451490559630
of151754680128125172
the17245468012894163226
right198554680128102141211281319
ventricle234054680128126188258297344382444483545
in29205468012895165
cases312154680128117178232295349
of350554680128127173
its37135468012895133187
hypertrophy393654680128126197265328375413460529600669740
and470954680128118189259
dilation.500354680128126165204266305343414484519
Diagnostic85157090128101140203273342412467506545608
value:14945709012871134172241304343
heart18735709012870133196241280
defects21895709012872134180243305343398
with262557090128101138178247
hypertrophy29115709012872143211274321358405475546615686
and36305709012864135205
dilation38715709012871110149212249289359428
of43355709012872118
the44885709012841112175
right4698570901284786156227265
ventricle,49995709012870133202242289327390427490524
such8515951012855125188257
as11445951012863116
mitral129659510128110146186233295333
stenosis,1665595101285593156225296350388442478
tricuspid2178595101284087125187256311381420490
valve27045951012870132170241303
defects,30425951012871133180241303342396432
pulmonary35095951012870140179289357428490537607
artery41505951012863109149211258327
valve45115951012870133172243306
defects,48525951012870132179242303342396431
and53195951012862131201
"pulmonary8516192012857127198237347414485548595665
heart"154961920128125188250297336393
-197761920128103
right211461920128102141211281320
ventricular247061920128124186255295342380443512551613660
hypertrophy316561920128127196265327374413461531600671742
and394061920128117187258
dilatation423361920128124164202265303366405443513583
in48526192012895165
chronic505361920128117186233302373411473
respiratory8516434012847109164233273320381420490537607
diseases.14926434012870109164227288343405459495
10656685012865
Pulsation12056685012878148188242305342382452521
in17626685012866135
the19336685012866136198
3rd-4th21676685012897143213262331371441
intercostal26436685012866136174237284346415470509572610
space32886685012882151214277339
at36616685012889128
the38256685012866136199
left40596685012866129174213
edge43086685012889158228291
of46346685012897144
the48146685012865135198
sternum50476685012881120182229299369478
indicates8516926012839110179219281343381444498
the13856926012852122185
likelihood1605692601285291161224262301371440510581
of22216926012883130
left23866926012853116163201
ventricular26226926012885146217255302341403473512574621
aneurysm32776926012876147209280326396449560
in38706926012853123
individuals40296926012853123193232302341411481543582637
of47016926012884130
middle488269260128109145216287325388
and53056926012876146215
old8517169012870110179
age.10667169012862131194229