Hyperdynamic precordium

That means a forceful and hyperdynamic impulse ( large amplitude that terminates quickly) can be palpated during physical examination.

Some possible etiologies are as followings:[1] In addition, hyperactive precordium indicates this physical finding with a pathologic cause which is noted by a clinician.

Another possible cause of sustained impulse is heart failure with reduced ejection fraction.

[1] Hyperdynamic precordium can also be due to hyperthyroidism, and thus indicates an increased cardiac contractility, with systolic hypertension.

[citation needed] Palpation of the chest wall can be done to assess volume changes within the heart.