Now palpate for any heaves or thrills. A thrill is a palpable murmur whereas a heave is a sign of left ventricular hypertrophy. A thrill feels like a vibration and a heave feels like an abnormally large beating of the heart. Feel for these all over the precordium. - See more at: http://www.osceskills.com/e-learning/subjects/cardiovascular-examination/#sthash.pYRttP72.dpuf