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Flashcards in Pulses Deck (13):
1

What is pulsus alterans?

When the upstroke of the pulse alternates between strong and weak - indicates systolic dysfunction (seen in patients with heart failure)

2

Who might you see pulsus alterans in?

In patients with heart failure (it indicates systolic dysfunction)

3

Describe a collapsing pulse

Has a forceful rapid upstroke and downstroke

4

Describe a jerky pulse

Has a forceful upstroke

5

Describe a slow-rising pulse

Has a slow upstroke

6

Describe a bisferiens pulse

When there are two upstrokes during systole
-seen in mixed aortic valve disease

7

When would you hear a collapsing pulse?

In aortic regurgitation

8

Features of severe aortic stenosis

Narrow pulse pressure
Slow rising pulse
Soft/absent S2
S4
Thrill

9

What is pulsus paradoxus?

Greater than normal fall in systolic blood pressure during inspiration
(faint or absent pulse during inspiration)

10

Who would you see pulsus paradoxus in?

Severe asthma
Cardiac tamponade

11

When would you see a slow-rising/plateau pulse

Aortic stenosis

12

When would you see a collapsing pulse?

Aortic regurgitation
PDA
Hyperkinetic (anaemia, thyrotoxicosis, fever, exercise/pregnancy)

13

When would you see a jerky pulse?

Hypertrophic obstructive cardiomyopathy
(HCOM)