1.0All About Cardiovascular System and Disordershttps://johnsonfrancis.org/professionalJohnson Francishttps://johnsonfrancis.org/professional/author/jf/rich600338<blockquote class="wp-embedded-content" data-secret="6q7pIBfkNC"><a href="https://johnsonfrancis.org/professional/left-parasternal-heave/">Left Parasternal Heave</a></blockquote><iframe sandbox="allow-scripts" security="restricted" src="https://johnsonfrancis.org/professional/left-parasternal-heave/embed/#?secret=6q7pIBfkNC" width="600" height="338" title="“Left Parasternal Heave” — All About Cardiovascular System and Disorders" data-secret="6q7pIBfkNC" frameborder="0" marginwidth="0" marginheight="0" scrolling="no" class="wp-embedded-content"></iframe><script> /*! This file is auto-generated */ !function(d,l){"use strict";l.querySelector&&d.addEventListener&&"undefined"!=typeof URL&&(d.wp=d.wp||{},d.wp.receiveEmbedMessage||(d.wp.receiveEmbedMessage=function(e){var t=e.data;if((t||t.secret||t.message||t.value)&&!/[^a-zA-Z0-9]/.test(t.secret)){for(var s,r,n,a=l.querySelectorAll('iframe[data-secret="'+t.secret+'"]'),o=l.querySelectorAll('blockquote[data-secret="'+t.secret+'"]'),c=new RegExp("^https?:$","i"),i=0;i<o.length;i++)o[i].style.display="none";for(i=0;i<a.length;i++)s=a[i],e.source===s.contentWindow&&(s.removeAttribute("style"),"height"===t.message?(1e3<(r=parseInt(t.value,10))?r=1e3:~~r<200&&(r=200),s.height=r):"link"===t.message&&(r=new URL(s.getAttribute("src")),n=new URL(t.value),c.test(n.protocol))&&n.host===r.host&&l.activeElement===s&&(d.top.location.href=t.value))}},d.addEventListener("message",d.wp.receiveEmbedMessage,!1),l.addEventListener("DOMContentLoaded",function(){for(var e,t,s=l.querySelectorAll("iframe.wp-embedded-content"),r=0;r<s.length;r++)(t=(e=s[r]).getAttribute("data-secret"))||(t=Math.random().toString(36).substring(2,12),e.src+="#?secret="+t,e.setAttribute("data-secret",t)),e.contentWindow.postMessage({message:"ready",secret:t},"*")},!1)))}(window,document); //# sourceURL=https://johnsonfrancis.org/professional/wp-includes/js/wp-embed.min.js </script> https://johnsonfrancis.org/professional/wp-content/uploads/2026/06/Left-Parasternal-Heave.jpg1281720A left parasternal heave (or parasternal lift) is a sustained, palpable precordial impulse that visibly and physically lifts the heel of the examiner’s hand during ventricular systole. That is systolic elevation of left costal cartilages. It is the hallmark physical sign of right ventricular hypertrophy (RVH) or severe right ventricular pressure and volume overload. Pathophysiology […]