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Pulsus paradoxus

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In medicine, a pulsus paradoxus (PP), also paradoxic pulse and paradoxical pulse, is a sign that is indicative of several conditions including cardiac tamponade and obstructive lung diseases (e.g. asthma).[1]

The paradox in pulsus paradoxus is that one can detect extra beats in cardiac auscultation when compared to the radial pulse. PP is quantified using a blood pressure cuff and stethoscope, by measuring the variation of the pressure in systole with respiration. Normal systolic blood pressure variation (with respiration) is considered to be 10 mmHg.[1]

PP has been shown to be predictive of the severity of cardiac tamponade.[2]

References

  1. a b Khasnis A, Lokhandwala Y. Clinical signs in medicine: pulsus paradoxus. J Postgrad Med. 2002 Jan-Mar;48(1):46-9. PMID 12082330. Full Text.
  2. Curtiss EI, Reddy PS, Uretsky BF, Cecchetti AA. Pulsus paradoxus: definition and relation to the severity of cardiac tamponade. Am Heart J. 1988 Feb;115(2):391-8. PMID 3341174.

See also

The content of this page is retrieved from http://en.wikipedia.org/wiki/Paradoxical_pulse under GFDL