Describe which abnormal conditions may affect the the apical impulse and explain why. Point of maximal impulse. Apex Beat An Overview Sciencedirect Topics Define the apical impulse and describe its normal location size and duration. . Define the apical impulse and describe its normal location size and duration. Explain the mechanism producing normal first and second heart sounds. Explain the mechanism producing normal first and second heart sounds. Define apical impulse and describe its normal location size and duration. Which abnormal conditions may affect the location of the apical impulse-The apical impulse is the pulsation created as the left ventricle rotates against the chest wall during systole-LocationThe apical impulse should occupy only one interspace the 4th or 5th and be at or medial to the. Define apical impulse and describe its normal location size and duration. Describe which abnormal condit