Heartbeat

The heart's apex is at the palpation tactile abutment of the apex of the anterior chest wall during systole . The exact localization depends on the constitution and can also be pathologically shifted (see also hypertrophy ). As a rule, you can find the location of the apex of the heart in the area between the left 5th and 6th rib (5th ICR, intercostal space) if you draw a vertical line from the middle of the clavicle ( medioclavicular line ) downwards and slightly inwards (medial ) goes. It can also be felt in the 5th intercostal space on the left medial (inwards towards the breastbone ) of the nipple .

Individual evidence

^ Klaus Holldack, Klaus Gahl: Auscultation and percussion. Inspection and palpation. Thieme, Stuttgart 1955; 10th, revised edition ibid 1986, ISBN 3-13-352410-0 , pp. 14-16, 58 and 101.
^ Herbert Lippert: Anatomy. 6th edition. Urban & Fischer, 2003, ISBN 3-437-42361-4 , pp. 251 f.

[1] Klaus Holldack, Klaus Gahl: Auscultation and percussion. Inspection and palpation. Thieme, Stuttgart 1955; 10th, revised edition ibid 1986, ISBN 3-13-352410-0 , pp. 14-16, 58 and 101.

[2] Herbert Lippert: Anatomy. 6th edition. Urban & Fischer, 2003, ISBN 3-437-42361-4 , pp. 251 f.