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Dicrotic Pulse Information

A dicrotic pulse[1] is a type of pulse characterized by a percussion wave in systole and a prominent dicrotic wave in diastole. Physiologically, the dicrotic wave is the result of reflected waves from the lower extremities and aorta.

Conditions associated with low cardiac output and high systemic vascular resistance can produce a dicrotic pulse.[2] Moreover, conditions associated with low systemic vascular resistance and a compliant aorta (e.g. sepsis) can also produce a dicrotic pulse, although the mechanism is not entirely understood.

In contrast to an anacrotic or bisferiens pulse, the 2 peaks in a dicrotic pulse occur in systole and diastole (as opposed to both occurring in systole).

See also

References

  1. ^ . PMC 2344508. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=2344508.
  2. ^ http://heart.bmj.com/cgi/content/abstract/56/6/531
Symptoms and signs: circulatory (R00–R03, 785)
Cardiovascular
Heart disease Tachycardia/Bradycardia · Palpitation Heart sounds: Heart murmur (Systolic, Diastolic, Continuous) · Gallop rhythm (Third heart sound, Fourth heart sound) · Pericardial friction rub · Split S2 · Heart click Cœur en sabot Cardiovascular chest pain Vascular manifestations of heart disease (pulse): Pulsus tardus et parvus · Pulsus paradoxus · doubled (Pulsus bisferiens, Dicrotic pulse, Pulsus bigeminus) · Pulsus alternans · Carotid bruit · Cannon A waves
Vascular disease Bruit · necrosis (Gangrene)
Myeloid/blood
Shock Cardiogenic · Hypovolemic · Distributive (Septic, Neurogenic)
Hyperaemia FunctionalReactive
Anemia Pagophagia

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