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left parasternal i.’s cardiac impulses categorized according to their location along the upper, mid, or lower left sternal border. An upper left parasternal impulse is usually caused by a systolic expansion of a dilated pulmonary artery; a mid to lower left parasternal impulse usually occurs as a result of a right ventricular contraction, and is characterized by an outward movement beginning synchronously with the first heart sound, but is sometimes caused by mitral incompetence.
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left posterior fascicular b. left posterior hemiblock; see hemiblock. See also fascicular b.
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left s. of heart see facies pulmonis cordis.
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left t. that in which the left lobe and anterior segment of the right lobe are removed.
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left v. cineangiography of the heart after insertion of a catheter into the left ventricle, usually retrograde across the aortic valve, and injection of iodinated contrast material; used to assess various ventricular function parameters and to detect regurgitation through the atrioventricular valves.
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