TY  - CHAP
M1  - Book, Section
TI  - Examination
A1  - Higgins, John P.
A1  - Ali, Asif
A1  - Filsoof, David M.
PY  - 2016
T2  - Cardiology Clinical Questions, 2e
AB  - Table  Graphic  Jump  Location|Download  (.pdf)|PrintImportant  information  about  the  patient  cardiac  status  is  obtained  by  physical  examination  of  arterial  pulses.  A  differential  diagnosis  can  be  made  by  inspecting  the  arterial  blood  pressure  and  central/peripheral  pulses.Patient  being  evaluated  presents  with  abnormal  pulses  on  physical  examination.Listen  for  murmurs,  rubs,  gallops,  location  of  cardiac  impulse,  parasternal  lifts.  Note  timing  of  pulse  with  cardiac  cycle.SWP  =  Small  Weak  Pulse.HKP  =  HypoKinetic  Pulse.DP  =  Delayed  Pulse.LBP  =  Large  Bounding  Pulse.DPP  =  Double  Peak  Pulse.PWSD  =  Palpable  Waves:  1  in  Systole,  1  in  Diastole.AAP  =  Alteration  of  Amplitude  Pulse.DPDI  =  Decreased  Pulse  or  absent  During  Inspiration.SULE  =  Slower  Upstroke  of  Lower  Extremity  pulse  compared  to  upper  extremity/disparity  in  amplitude.PP  =  Pulsus  Parvus  (diminished  left  ventricular  stroke  volume,  narrow  pulse  pressure,  increased  peripheral  vascular  resistance).HV  =  HypoVolemia.LVF  =  Left  Ventricular  Failure.RC  =  Restrictive  Cardiomyopathy.MS  =  Mitral  Stenosis.PT  =  Pulsus  Tardus:  aortic  stenosis  with  delayed  systolic  peak,  left  ventricular  obstruction.KERKP  =  HypERKinetic  Pulse-increased  LV  stroke  volume,  wide  pulse  pressure,  decreased  peripheral  vascular  resistance:  AV  fistulas,  mitral  regurgitation,  aortic  regurgitation,  ventricular  septal  defect.BWC  =  Bisferiens/Water  hammer/Corrigan:  aortic  regurgitation,  hypertrophic  cardiomyopathy.DICR  =  DICRrotic:  low  stroke  volumes,  dilated  cardiomyopathy.PALT  =  Pulsus  ALTernans:  severe  impairment  of  LV  function.PPAR  =  Pulsus  paradoxus:  tamponade,  airway  obstruction,  superior  vena  cava  obstruction.RFD  =  RadioFemoral  Delay:  coarctation  of  aorta.SWP  =  PPHKP  =  HV  or  LVF  or  RC  or  MSDP  =  PTLBP  =  HERKPDPP  =  BWCPWSD  =  DICRAAP  =  PALTDPDI  =  PPARSULE  =  RFDThe  arterial  pulse  begins  when  the  aortic  valve  opens  and  left  ventricle  contracts.  There  is  a  rapid  rise  called  the  anacrotic  notch;  then  during  isovolumic  relaxation,  there  is  a  reversal  of  flow  prior  to  aortic  valve  closure  which  is  called  the  incisura.Palpate  all  pulses  and  note  for  any  differences  between  them,  as  well  as  simultaneous  palpation  of  pulses  and  blood  pressures  on  each  side  of  the  body.Palpation  of  pulses  can  also  give  information  about  heart  blocks  and  irregular  rhythms:  regular  irregular  pulses  are  seen  in  PAC/PVC/Atrial  flutter,  irregularly  irregular  pulses  seen  in  atrial  fibrillation  or  variable  AV  block  and  other  heart  blocks.1.  Chizner  M,  Harvey  WP,  ed.  Classic  Teachings  in  Clinical  Cardiology:  A  Tribute  to  W.  Proctor  Harvey.  Cedar  Grove,  NY:  Laennec;  1996.2.  Fauci  AS,  Braunwald  E,  Isselbacher  KJ,  et  al.,  eds.  Harrisons  Principles  of  Internal  Medicine.  19th  ed.  New  York,  NY:  McGraw-Hill;  2015.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/20
UR  - accesscardiology.mhmedical.com/content.aspx?aid=1173757659
ER  -