Demonstration of the parasternal heave using a long ...
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Demonstration of the parasternal heave using a long Q-tip, known as the "Cooney technique" ( @ https://twitter.com/PDX_Tom ). Note her JVP waveform in the background. Which part of the waveform correlates with movement of the Q-tip?  

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The systolic parasternal heave coincides perfectly with the X descent, which of course occurs during ventricular systole. 



Dr. André Mansoor @AndreMansoor - Author of Frameworks for Internal Medicine https://amzn.to/2LmUODZ



#ParasternalHeave #Heave #QTip #PhysicalExam #Clinical #Video #PrecordialImpulse #Cardiology
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Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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