Cardiovascular Medicine Book

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Arterial Pulse

Aka: Arterial Pulse, 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 48:7-98
      2. Giese (2007) Am Fam Physician 75:1008-14

Physiologic pulse (C0391850)

Definition (NCI) The rhythmic wave within the arteries occurring with each contraction of the left ventricle.
Concepts Physiologic Function (T039)
SnomedCT 8499008
English Pulses, PULSES, Pulse, NOS, PULSE, Pulse Rate, Pulse, function, Physiologic pulse, 316-319 PULSES, pulse, Pulse, Pulse, function (observable entity), Pulse (function)
Spanish pulso (entidad observable), pulso (función), pulso
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Arterial pulse (C0392683)

Concepts Organ or Tissue Function (T042)
SnomedCT 87179004
English Arterial Pulse, Arterial pulse, arterial pulse, Pulse (Arterial)
Spanish pulso arterial (entidad observable), pulso arterial
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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