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? ... 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
