Cardiovascular Medicine Book

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Arterial PulseAka: Pulse, Abnormal Arterial Pulsation, Water-Hammer Pulse, Pulsus parvus et tardus, Pulsus alternans, Pulsus bisferiens

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  1. Exam: Locations
    1. Peripheral arterial pulsation
      1. Arm
        1. Radial pulse (wrist)
        2. Ulnar pulse (wrist)
        3. Brachial pulse (antecubital)
      2. Foot
        1. Posterior tibial pulse
        2. Dorsalis pedis pulse
    2. Central arterial pulsation
      1. Carotid pulse (Neck)
      2. Femoral pulse (Groin)
  2. Findings: Abnormal
    1. See Arrhthmia for abnormal rate or rhythm
    2. Water-Hammer: Large amplitude, rapidly rising
      1. Hypertrophic Cardiomyopathy
      2. Aortic Regurgitation
      3. Mitral Regurgitation (severe)
      4. Patent Ductus Arteriosus
    3. Pulses parvus et tardus (Small amplitude, slow rising)
      1. Aortic Stenosis
      2. Diminished cardiac output
    4. Pulsus alternans (alternating strong and weak pulse)
      1. Left ventricular Systolic Dysfunction
    5. Pulsus Paradoxus (Diminished pulse on inspiration)
      1. Cardiac Tamponade
      2. Congestive Heart Failure (severe)
      3. Chronic Obstructive Pulmonary Disease (severe)
      4. Asthma
      5. Constrictive Pericarditis
    6. Pulsus bisferiens (Double-peak pulse)
      1. Aortic Regurgitation
      2. Hypertrophic Cardiomyopathy
    7. References
      1. Chizner (2002) Dis Mon 48:7
      2. Giese (2007) Am Fam Physician 75:1008

Physiologic pulse (C0391850)

Definition (NCI)The rhythmic wave within the arteries occurring with each contraction of the left ventricle.
ConceptsPhysiologic Function (T039)
EnglishPhysiologic pulse, Pulse, Pulse Rate
Spanishpulso
CreditsDerived from the NIH UMLS (Unified Medical Language System)


Arterial Pulse (C0392683)

ConceptsOrgan or Tissue Function (T042)
EnglishArterial Pulse
Spanishpulso arterial
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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