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His cardiac apex beat was palpated in the 5th Intercostal space mid clavicular line on the right side of his chest.
The trachea was slightly shifted to the left with the cardiac apex beat far to the left.
Cardiovascular examination revealed a 3/6 systolic murmur at the cardiac apex and left basilar crepitations on auscultation of the chest.
Such myocardial calcification appears as a thin, curvilinear mass, usually found within the periphery of the infarct, in the distribution of the interven-tricular septum and cardiac apex.
Given the pretest probability of 16% in this study of LVSD, the positive predictive value for LVSD of JVD was 64%, S3 gallop was 77%, and displaced cardiac apex was 75%.
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