Cardiology 2003
On palpation of the left ventricular (LV) apex, there may be a triple apex beat caused by a palpable left atrial gallop and a double systolic impulse. On auscultation, at or just medial to the LV apex, there is a late onset, diamond-shaped systolic murmur of grade 3 to 4/6 in intensity; caused by both the subaortic obstruction and the ... ................
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