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Topic: Paradoxic pulse


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In the News (Wed 23 Dec 09)

  
  eMedicine - Aortic Stenosis, Subaortic : Article by Gautam K Singh, MD
Peripheral pulses are symmetric and rarely of small volume unless severe LVOT obstruction is present.
A prominent a wave in the jugular venous pulse occasionally occurs in children with SAS.
Paradoxic splitting of the second heart sound, which suggests associated LV dysfunction, may occur in severe SAS.
www.emedicine.com /PED/topic2485.htm   (3826 words)

  
  Respitrace Annotated Bibliography   (Site not responding. Last check: 2007-11-07)
The jugular venous pulse serves as an ancillary aid to the electrocardiogram in interpreting tachyarrhythmias (vide infra).
Pulse transit time (measured as the interval from the ECG R-wave until the arrival of the pulse pressure wave at the periphery, about 250 ms) varies inversely with blood pressure and provides a beat-to-beat estimation of blood pressure changes, thereby marking an arousal.
Pulse transit time (measured as the interval from the ECG R-wave until the arrival of the pulse pressure wave at the periphery, about 250 ms) varies inversely with blood pressure and provides a beat-to-beat estimation of blood pressure changes.
www.ctech.net /nims/biblio.html   (19743 words)

  
 Physical Diagnosis Chapter 4 Study Guide   (Site not responding. Last check: 2007-11-07)
Pulse Deficit: With Atrial Fibrillation + Tachycardia, the radial pulse may not be equal to the cardiac apical pulse.
The lapse between apical and radial pulse is the pulse deficit.
Paradoxical pulse occurs when decrease is greater than 10 mm Hg.
www.geocities.com /doctor_uae/pdx_chapter4.htm   (3133 words)

  
 Arhythmia   (Site not responding. Last check: 2007-11-07)
Pericarditis may so disturb cardiac innervation as to result in an irregular heart action; while an irregular or intermittent pulse may be the first symptom to direct our attention to myocarditis, either acute or chronic myocardial degenerations are often attended by arhythmia, though a morbid condition of the cardiac ganglia may not be detected.
In the bigeminal pulse, the first beat is usually the stronger, and in some cases is the only one felt at the wrist.
The paradoxic pulse of Kussmal is where the beats are more frequent and feeble during inspiration than during expiration.
www.harvestfields.netfirms.com /harvest/Practice-of-Medicine/1907/108.htm   (951 words)

  
 [No title]   (Site not responding. Last check: 2007-11-07)
Paradoxic movement of the thorax may indicate incomplete recovery from anesthesia or residual paralysis.
Throughout the episode of laryngospasm pulse oximetry and the electrocardiogram should be monitored.
Overnight observation with an apnea monitor, a pulse oximeter and nursing observation is necessary in any preterm infant under 60 weeks postconceptual age is considered a safe and conservative recommendation.
www.pitt.edu /~mandel/pacu/peds.htm   (2917 words)

  
 Dr.Ismail (to be) » Blog Archive » Heart Sounds   (Site not responding. Last check: 2007-11-07)
However, the delay between mitral valve closure and the upstroke of the carotid pulse normally is too short to be appreciated at the bedside.
The pulse is regular in atrioventricular dissociation; thus, the varying intensity of S1 in a patient with a regular pulse almost always suggests atrioventricular dissociation.
Although the pulse is regular, changes in the intensity of S1 occur regularly with the alternate beats and not randomly as in atrioventricular dissociation.
www.drismail.com /blog/?p=31   (8934 words)

  
 Cardiac Symptoms   (Site not responding. Last check: 2007-11-07)
Pulse Deficit: In rapid atrial fibrillation the apical rate may be 140-170 (counting the number of LUB-DUB's), while the radial pulse may show a rate of 80 or 90.
A widened pulse pressure is also seen in patent ductus, cyanosis, pregnancy, after exercise, high fever, severe anemia (the latter group are all expressions of a high cardiac output).
In the neck a C wave may be seen in jugular pulse tracings: It is an extrinsic pulse transmitted from the neighboring carotid arteries and is absent in the RA.
cppweb.bsd.uchicago.edu /ta/cardiology.html   (8528 words)

  
 Hypertension
Neck-vein distention with a prominent V-wave, a murmur of pulmonic insufficiency, and pronounced lower-extremity edema are all signs of advanced pulmonary hypertension, which is often associated with a thready systemic pulse.
With advanced disease, right ventricular size and function are usually abnormal; paradoxic septal motion and abnormal pulmonic valve motion may be apparent by echocardiography.
Fig.12: Same as Fig.9 showing the enlarged right atrium and ventricle separated by the straightened interventricular septum(ISV,arrow),which was paradoxical in motion,compared to the much smaller left atrium and ventricle(long axis parasternal view).
www.rjmatthewsmd.com /Definitions/pulmonary_hypertension.htm   (9389 words)

  
 Post-Test for CriticalCareCEU.com Course
saturation of 90% on pulse oximetry corresponds to a PaO
The arterial pulse must be detected in the extremity.
Pulse oximeters should not be used with children.
www.nursingceu.com /post_tests/display_test/display_test.php?cid=101&pid=4   (670 words)

  
 Full text: Fatal or Near-Fatal Asthma: Clinical Entity or Incorrect Management?
Paradoxic pulse values are reliable indicators of severe exacerbation only if they are more than 25 mm Hg.
Furthermore, in all patients oxygen saturation should be measured by pulse oximetry on a continuous basis in order to assess and correct hypoxemia.
along with continuous measurement of oxygen saturation by pulse oximetry, is a critical element in assessing the degree of airway obstruction, gas exchange, and response to treatment.
www.archbronconeumol.org /cgi-bin/wdbcgi.exe/abn/abneng.mrevista.fulltext?pident=13056277   (7097 words)

  
 Dixarit - Dixarit Side Effects - Dixarit Information - Canada Pharmacy - Drugs from Canada
Slowing of the pulse rate has been observed in most patients given clonidine, but the drug does not alter normal hemodynamic response to exercise.
Other studies in patients have provided evidence of a reduction in plasma renin activity and in the excretion of aldosterone and catecholamines, but the exact relationship of these pharmacologic actions to the antihypertensive effect has not been fully elucidated.
Clonidine should be used with caution in patients with mild to moderate bradyarrhythmia such as low sinus rhythm, with disorders of cerebral or peripheral perfusion, polyneuropathy, and constipation, patients with heart failure or severe coronary heart disease.
www.rxcarecanada.com /Dixarit.asp   (1992 words)

  
 CHEST: Proximal aortic dissection with cardiac tamponade: long-term survival without surgery   (Site not responding. Last check: 2007-11-07)
On hospital admission, the blood pressure was 160/110 mm Hg with no paradoxic pulse.
The pulse rate was 92 beats per minute and regular, respirations were 30/min, and rectal temperature was 38.5 [degrees] C. There were bibasilar rales and marked jugular venous distention.
All peripheral pulses and the carotid upstroke were normal.
www.findarticles.com /p/articles/mi_m0984/is_n4_v99/ai_10763992   (1100 words)

  
 Temporary IVC Filtration before Patent Foramen Ovale Closure in a Patient with Paradoxic Embolism -- Lewis-Carey et al. ...
radial pulse was diminished and her arm was cool to the touch,
Paradoxical embolism: an old but, paradoxically, underestimated problem.
Paradoxical Embolism Detected on CT Angiography and Treated With Temporary Inferior Vena Cava Filtration and Anticoagulation
www.jvir.org /cgi/content/full/13/12/1275   (1859 words)

  
 Acupuncture.Com - Herbology - Treatment of Diabetes with Herbs
Symptoms are fidgeting, polydipsia, dry red tongue (with or without cracks), with a thin, yellow coat, and a forceful, rapid pulse (especially at the cun position).
Middle Wasting (Xiao-Ke) Syndrome is characterized by Stomach fire damaging the fluids, leading to such symptoms as polyphagia, constant hunger with good appetite, a red tongue with a yellow coat, and a slippery, forceful, rapid pulse.
Lower Wasting (Xiao Ke) Syndrome with Kidney Yin and Yang deficiencies is characterized by polyuria (especially at night), teethmarks on both sides of the tongue, a pale red tongue with a white coat, and a deep, thready, weak pulse.
www.acupuncture.com /herbs/diabetc.htm   (3325 words)

  
 WHIPLASH: THE EPIDEMIC Article on Free Accident Info dot com   (Site not responding. Last check: 2007-11-07)
In the rebound effect that occurs when the head strikes the head restraint during rear-impact collision, the head actually rebounds in the forward (i.e., flexion) direction, potentially magnifying the flexion effect.
In the Paradoxic flexion effect that occurs when the head first strikes the head restraint, if the head makes contact high on the restraint and no support for the neck is available, the inertia of the neck may allow some flexion to occur.
Reapplication of the brake will result in additional deceleration pulse and may enhance the potential for flexion injury of the neck.
www.freeaccidentinfo.com /article,684,WHIPLASH:-THE-EPIDEMIC,0.html   (9542 words)

  
 Echocardiographic observations of paradoxic pulse without pericardial disease -- Kronzon et al. 78 (3): 474 -- Chest
Echocardiographic observations of paradoxic pulse without pericardial disease -- Kronzon et al.
Echocardiographic observations of paradoxic pulse without pericardial disease
in patients who exhibit paradoxic pulse due to other conditions.
www.chestjournal.org /cgi/content/abstract/78/3/474   (182 words)

  
 P1wiki - Pulse
Pulse is best taken Radially using the tips of the second and third fingers
Take for minimum of 15 seconds if strong and regular, 60 if irregular or weak
Rapid, high peak, and abrupt drop in pulse
oregonstate.edu /~williate/p1wiki/index.php/Pulse   (151 words)

  
 CHEST INJURIES
Paradoxic motion - indicated a flailed chest and the broken part moves in the opposite movement of the ventilation effort.
Muffled heart tones (because of blood in the sac around heart), JVD (the heart cannot pump because of the pressure to blood backs up in vessels), narrowing pulse pressure.
Doctor will stick a long needle into chest and place in pericardial sac and drain the blood.
www.emts911.com /emtoutlines/emt_outlinechest.htm   (577 words)

  
 Acute & Critical Care SIG Newsletter
PP initially was described by Kussmaul in 1873 after he noticed that the radial pulse disappeared on inspiration in patients with cardiac compression by pericardial contents.
The pulse is paradoxical because it does not make sense that the pulse disappears while the heart continues to contract or because the pulse, while seeming irregular, actually waxes and wanes.
Rhythmic reduction or loss of pulse wave of pulse oximeter occurs during inspiration.
onsopcontent.ons.org /Publications/SIGNewsletters/acc/acc14.1.html   (4233 words)

  
 TRANSESOPHAGEAL ECHOCARDIOGRAPHY AND THE ANAESTHESIOLOGIST
In its infancy, the main application of TEE was assessment of global left ventricular function and regional wall motion abnormalities (RWMA).
In the modern equipment, with provision of multiplaner and multifrequency probes (3.5 to7 MHz), colour flow mapping, pulse and continuous wave doppler, cine loop displays and digital image processing, now it has become possible to have same information rather of better quality than transthoracic echocardiography.
Another advantages of TEE include the stability of the transducer and continuous recordings for extended periods of time, which are very desirable for monitoring in operation theatre.
www.theiaforum.org /oct2001.htm   (1838 words)

  
 handout6b
Normally, stroke volume following a premature ventricular complex is augmented because of an increase in left ventricular filling during the compensatory pause (Frank-Starling effect) as well as from an increase in contractility.
This results in a large pulse pressure on arterial pulse recording.
In patients with obstructive hypertrophic cardiomyopathy, post-PVC contraction results in an increase in LVOT gradient (worsening of obstruction) and therefore no increase in stroke volume and no change in arterial pulse pressure.
www.brown.edu /Courses/Bio_281-cardio/cardio/handout6b.htm   (1787 words)

  
 lecture1.htm
When unsure as to what is triggering alarm, the patient can always be manually ambued with 100% oxygen while the problem is determined.
When suctioning, check pulse oximetry and cardiac monitor for tolerance of the procedure; suctioning should be done as needed and not necessarily on a fixed schedule.
Include the family in helping to anticipate, interpret and understand the patient's needs; their presence and help is a great comfort to the patient.
faculty.valencia.cc.fl.us /mludy/lecture1.htm   (1531 words)

  
 Rolling Stone : Curtis Mayfield: Back To The World : Music Reviews   (Site not responding. Last check: 2007-11-07)
In the same motel room he eats some organic mescaline and his woman; the combination of magic alkaloids and vaginal secretions direct from the source restores his sight, and he sings "Keep On Trippin'" and the band plays "Can't Say Nothin'," an extended arrangement for big R&B outfit and goofy words.
What's remarkable about Mayfield and this album seems to be nothing less than the cyclical emotions that make up the beats on the strong pulse of fl life.
Curtis covers a lot of sensory ground—bitterness, ambivalent feelings, ecstasy—and he sings as both participant and observer, always managing to dip his persona in edgy, get-back funk.
www.rollingstone.com /artists/4921/albums/album/186834   (581 words)

  
 Healing People Network L.P.   (Site not responding. Last check: 2007-11-07)
Type I, IDDM, is also referred to as juvenile-onset diabetes, with onset in the early teen years in many patients.
Symptoms are fidgeting, polydypsia, dry red tongue (with or without cracks) with a thin, yellow coat, and a forceful, rapid pulse (especially at the cun position).
Upper Wasting (Xiao-Ke) Syndrome is characterized by Lung heat drying body fluids, resulting in symptoms such as fidgeting, polydypsia, a dry red tongue (with or without cracks) with a thin, yellow coat, and a forceful, rapid, pulse (especially at the cun position).
www.healingpeople.com /ht/index.php?option=content&task=view&id=118&Itemid=143   (3279 words)

  
 Pulmonary Arteriovenous Malformations: Effect of Embolization on Right-to-Left Shunt, Hypoxemia, and Exercise Tolerance ...
and pulse rate at the end of the walk.
These patients continue to be at risk from paradoxic embolization and
Sensitivity and specificity of radioisotope right-left shunt measurements and pulse oximetry for the early detection of pulmonary arteriovenous malformations.
www.ajronline.org /cgi/content/full/179/2/347   (4232 words)

  
 Chest February 1990 at HighBeam Research   (Site not responding. Last check: 2007-11-07)
Clinical efficacy and cost benefit of pulse flow oxygen in hospitalized patients.
Use of Doppler echocardiography and amyl nitrite inhalation to characterize left ventricular outflow obstruction in hypertrophic cardiomyopathy.
Anterior segment upper lobe tuberculosis in the adult: occurrence in primary and reactivation disease.
www.highbeam.com /browse/Health-Medicine-Chest/February-1990-p1   (729 words)

  
 Edwin C. Weiss M.D.
KRONZON, I; WINER, H; WEISS, E; BERGER, A."ECHOCARDIOGRAPHY IN PARADOXIC PULSE".
Tabor E; Krugman S; Weiss EC; Gerety RJ."Disappearance of hepatitis B surface antigen during an unusual case of fulminant hepatitis B".
Kronzon, I; Winer, HE; Weiss, EC; Berger, AR."ECHOCARDIOGRAPHIC OBSERVATIONS OF PARADOXIC PULSE WITHOUT PERICARDIAL DISEASE".
www.med.nyu.edu /pubs/weisse02.html   (354 words)

  
 Physical Diagnosis Final Exam Study Guide   (Site not responding. Last check: 2007-11-07)
One side of chest moves paradoxically relative to the other side of the chest.
FEMORAL PULSES and DISTAL AORTA: Decreased or absence femoral pulses can be found in several disorders:
Symptom Tetrad: Absent femoral pulses, intermittent claudication, gluteal pain, impotence.
rad.usuhs.mil /rad/PhDx/pdx_final_exam.htm   (8845 words)

  
 Medicine; Daily Free Online Mock Test 113 Medicine PLAB USMLE   (Site not responding. Last check: 2007-11-07)
2) The following type of pulse should be felt in peripheral arteries
3) The following type of pulse is felt in HOCM
5) Commonest cause of paradoxic splitting of S2 is
www.aipge.com /article-449-nested-0-0.html   (302 words)

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