SlideShare ist ein Scribd-Unternehmen logo
1 von 10
Downloaden Sie, um offline zu lesen
AMITANAND
FINALYEAR
MBBS
Types of Arterial pulses
Pulse:
The pulse is a wave form that is felt by fingers and produced by
cardiac systole which travels through the peripheral arterial tree
in peripheral direction at a rate more faster than that of blood
columm.
Anacrotic Pulse (Pulsus Tardus):
Low amplitude pulse with Slow rise and slow fall
Duration of pulse is prolonged
Seen In aortic stenosis
Dicrotic Pulse:(Pulsus Dicrotius)
It has two palpable waves with One peak in systole, one in
diastole.It due to a very low stroke volume with decreased
peripheral resistance.
LVF, Dilated cardiomyopathy
Cardiac Tamponade
Dehydration
Typhoid fever
Collapsing or Water hammer pulse
corriagan,
Large volume pulse with Rapid upstroke and rapid down
stroke
Rapid up stroke is because of increased stroke volume
Rapid downstroke is due to decrease in peripheral
resistance and diastolic leak back into left ventricles.
Best felt in radial artery with patient’s arm elevated
Causes:
Aortic regurgitation
PDA
Hyperdynamic states: Fever, Anaemia, Thyrotoxicosis,
pregnancy and AV fistula
Pulsus Bisferiens
It is single pulse wave with two peaks in systole
d/t ejection of rapid jet of blood through aortic valve
Best felt in brachial and femoral artery
AS + AR
Severe AR
HOCM(Hypertrophic obstructive cardiomyopathy)
Pulsus Parvus:
Small volume pulse like anacrotic pulse but anacrotic wave is
not felt.
It occurs as a result of a reduction in left ventricular stroke
volume or decrease in systemic arterial pressure .
Severe Hypotension (Shock)
Severe AS PS
Pulsus Alternans:
Alternate large and small volume pulse,with a normal rhythm.There is a
difference of 10-40 mmHg in systolic pressure between beats .
Due to alternate left ventricular contractile force ie,the ventricles beats
strongly ,then weakly ,alternating with each other.
LV Failure
Cardia Arrythmias
Pulsus bigeminus:
A Pulse wave with normal beat followed by pre mature beat and
compensatory pause,thereby producing irregular rhythm .
It is caused by coupled ectopic beats ie,an ectopic beat following each
regular beat .
Digitalis toxicity
Pulsus paradoxus:
Exaggerated decrease in strength of arterial pulse during
inspiration, Inspiratory fall of SBP >10mmHg
The radial pulse gets smaller in volume with inspiration and
larger in volume with expiration .
In this during inspiration the increased right ventricular
volume results in bulging of interventricular septum into left
ventricular cavity.This results in reduction in left ventricular
volume leading to a further reduction in cardiac output.This
exaggerats the normal inspiratory reduction in blood
pressure ,allowing it to exceed 10mmHg.
Cardiac temponade
Constrictive pericarditis
Acute asthma
Superior vana cava obstruction
Reverse pulsus paradoxus: It is an inspiratory rise in
arterial pressure.
Hypertrophic obstructive cardiomyopathy
Intermittent positive pressure ventilation
AV dissociaton
Thank You…

Weitere ähnliche Inhalte

Was ist angesagt? (20)

Clubbing
ClubbingClubbing
Clubbing
 
Jugular venous pressure
Jugular venous pressureJugular venous pressure
Jugular venous pressure
 
General examination
General examinationGeneral examination
General examination
 
The arterial pulse
The arterial pulseThe arterial pulse
The arterial pulse
 
Systolic murmurs
Systolic murmursSystolic murmurs
Systolic murmurs
 
Cyanosis ppt by dr girish jain
Cyanosis ppt by dr girish jainCyanosis ppt by dr girish jain
Cyanosis ppt by dr girish jain
 
ECG interpretation: the basics
ECG interpretation: the basicsECG interpretation: the basics
ECG interpretation: the basics
 
Cardiovascular system examination
Cardiovascular system examinationCardiovascular system examination
Cardiovascular system examination
 
Approach to Lung sounds
Approach to Lung soundsApproach to Lung sounds
Approach to Lung sounds
 
ECG Changes in Myocardial Infarction
ECG Changes in Myocardial InfarctionECG Changes in Myocardial Infarction
ECG Changes in Myocardial Infarction
 
Mitral stenosis
Mitral stenosisMitral stenosis
Mitral stenosis
 
Basics of Electrocardiography(ECG)
Basics of Electrocardiography(ECG)Basics of Electrocardiography(ECG)
Basics of Electrocardiography(ECG)
 
Abdominal Exam
Abdominal ExamAbdominal Exam
Abdominal Exam
 
Diastolic murmurs
Diastolic murmursDiastolic murmurs
Diastolic murmurs
 
Patent Ductus Arteriosus (PDA)
Patent Ductus Arteriosus (PDA)Patent Ductus Arteriosus (PDA)
Patent Ductus Arteriosus (PDA)
 
Clubbing
ClubbingClubbing
Clubbing
 
Aortic regurgitation
Aortic regurgitationAortic regurgitation
Aortic regurgitation
 
dialated cardiomyopathies
dialated cardiomyopathiesdialated cardiomyopathies
dialated cardiomyopathies
 
Pulse - Arterial Pulse - Types
Pulse - Arterial Pulse - TypesPulse - Arterial Pulse - Types
Pulse - Arterial Pulse - Types
 
Thyroid gland examination
Thyroid gland examinationThyroid gland examination
Thyroid gland examination
 

Ähnlich wie Types of Arterial pulses

Pulse- Abnormal Findings
Pulse- Abnormal FindingsPulse- Abnormal Findings
Pulse- Abnormal FindingsArya Anish
 
Hemodynamics presentation
Hemodynamics presentationHemodynamics presentation
Hemodynamics presentationmsturtev
 
Clinical Value of Examination of Radial and Carotid Pulses at Bedside
Clinical Value of Examination of Radial and Carotid Pulses at BedsideClinical Value of Examination of Radial and Carotid Pulses at Bedside
Clinical Value of Examination of Radial and Carotid Pulses at BedsideAyesha Bukhari
 
Arterial pulse (The Guyton and Hall Physiology)
Arterial pulse (The Guyton and Hall Physiology)Arterial pulse (The Guyton and Hall Physiology)
Arterial pulse (The Guyton and Hall Physiology)Maryam Fida
 
Arterial and venous pulse
Arterial and venous  pulseArterial and venous  pulse
Arterial and venous pulseAnu Priya
 
Cardiac tamponade
Cardiac tamponadeCardiac tamponade
Cardiac tamponadepune2013
 
Cardiac cycle topic SlideShare
Cardiac cycle topic SlideShare   Cardiac cycle topic SlideShare
Cardiac cycle topic SlideShare AsgharullahKhan
 
Heart rate calculation by Arterial Pulses.pptx
Heart rate calculation by Arterial Pulses.pptxHeart rate calculation by Arterial Pulses.pptx
Heart rate calculation by Arterial Pulses.pptxDr. Irtaza Rehman
 
Determinants of cardiac output for captivate
Determinants of cardiac output for captivateDeterminants of cardiac output for captivate
Determinants of cardiac output for captivateleslielally
 
Pericardial Dse Cath Lab
Pericardial Dse Cath LabPericardial Dse Cath Lab
Pericardial Dse Cath LabMari Caban
 
MED Cvs
MED CvsMED Cvs
MED CvsO J
 

Ähnlich wie Types of Arterial pulses (20)

Arterial prateek
Arterial prateekArterial prateek
Arterial prateek
 
Pulse- Abnormal Findings
Pulse- Abnormal FindingsPulse- Abnormal Findings
Pulse- Abnormal Findings
 
Hemodynamics presentation
Hemodynamics presentationHemodynamics presentation
Hemodynamics presentation
 
Clinical Value of Examination of Radial and Carotid Pulses at Bedside
Clinical Value of Examination of Radial and Carotid Pulses at BedsideClinical Value of Examination of Radial and Carotid Pulses at Bedside
Clinical Value of Examination of Radial and Carotid Pulses at Bedside
 
Arterial pulse (The Guyton and Hall Physiology)
Arterial pulse (The Guyton and Hall Physiology)Arterial pulse (The Guyton and Hall Physiology)
Arterial pulse (The Guyton and Hall Physiology)
 
Arterial and venous pulse
Arterial and venous  pulseArterial and venous  pulse
Arterial and venous pulse
 
pulses
pulsespulses
pulses
 
The heart
The heartThe heart
The heart
 
Pulse
PulsePulse
Pulse
 
Cardiac tamponade
Cardiac tamponadeCardiac tamponade
Cardiac tamponade
 
Cardiac tamponade
Cardiac tamponadeCardiac tamponade
Cardiac tamponade
 
Cardiac cycle topic SlideShare
Cardiac cycle topic SlideShare   Cardiac cycle topic SlideShare
Cardiac cycle topic SlideShare
 
Cardiac cycle
Cardiac cycleCardiac cycle
Cardiac cycle
 
Pulse & JVP
Pulse & JVPPulse & JVP
Pulse & JVP
 
Heart rate calculation by Arterial Pulses.pptx
Heart rate calculation by Arterial Pulses.pptxHeart rate calculation by Arterial Pulses.pptx
Heart rate calculation by Arterial Pulses.pptx
 
Tag training version 1.0
Tag training version 1.0Tag training version 1.0
Tag training version 1.0
 
Determinants of cardiac output for captivate
Determinants of cardiac output for captivateDeterminants of cardiac output for captivate
Determinants of cardiac output for captivate
 
Valvular heart disease
Valvular heart diseaseValvular heart disease
Valvular heart disease
 
Pericardial Dse Cath Lab
Pericardial Dse Cath LabPericardial Dse Cath Lab
Pericardial Dse Cath Lab
 
MED Cvs
MED CvsMED Cvs
MED Cvs
 

Kürzlich hochgeladen

Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.kishan singh tomar
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.aarjukhadka22
 
CPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentCPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentsaileshpanda05
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationMedicoseAcademics
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...Sujoy Dasgupta
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptxWINCY THIRUMURUGAN
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectiondrhanifmohdali
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE Mamatha Lakka
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdfHongBiThi1
 
Adenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisAdenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisSujoy Dasgupta
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyMedicoseAcademics
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project reportNARMADAPETROLEUMGAS
 
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdfPAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdfDolisha Warbi
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu Medical University
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptPradnya Wadekar
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptPradnya Wadekar
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Vaikunthan Rajaratnam
 

Kürzlich hochgeladen (20)

Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
 
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
 
CPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentCPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing student
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissection
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
 
Adenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisAdenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosis
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before Pregnancy
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project report
 
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdfPAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologyppt
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.ppt
 
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.
 
American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...
 

Types of Arterial pulses

  • 2. Pulse: The pulse is a wave form that is felt by fingers and produced by cardiac systole which travels through the peripheral arterial tree in peripheral direction at a rate more faster than that of blood columm.
  • 3. Anacrotic Pulse (Pulsus Tardus): Low amplitude pulse with Slow rise and slow fall Duration of pulse is prolonged Seen In aortic stenosis Dicrotic Pulse:(Pulsus Dicrotius) It has two palpable waves with One peak in systole, one in diastole.It due to a very low stroke volume with decreased peripheral resistance. LVF, Dilated cardiomyopathy Cardiac Tamponade Dehydration Typhoid fever
  • 4. Collapsing or Water hammer pulse corriagan, Large volume pulse with Rapid upstroke and rapid down stroke Rapid up stroke is because of increased stroke volume Rapid downstroke is due to decrease in peripheral resistance and diastolic leak back into left ventricles. Best felt in radial artery with patient’s arm elevated Causes: Aortic regurgitation PDA Hyperdynamic states: Fever, Anaemia, Thyrotoxicosis, pregnancy and AV fistula
  • 5. Pulsus Bisferiens It is single pulse wave with two peaks in systole d/t ejection of rapid jet of blood through aortic valve Best felt in brachial and femoral artery AS + AR Severe AR HOCM(Hypertrophic obstructive cardiomyopathy)
  • 6. Pulsus Parvus: Small volume pulse like anacrotic pulse but anacrotic wave is not felt. It occurs as a result of a reduction in left ventricular stroke volume or decrease in systemic arterial pressure . Severe Hypotension (Shock) Severe AS PS
  • 7. Pulsus Alternans: Alternate large and small volume pulse,with a normal rhythm.There is a difference of 10-40 mmHg in systolic pressure between beats . Due to alternate left ventricular contractile force ie,the ventricles beats strongly ,then weakly ,alternating with each other. LV Failure Cardia Arrythmias Pulsus bigeminus: A Pulse wave with normal beat followed by pre mature beat and compensatory pause,thereby producing irregular rhythm . It is caused by coupled ectopic beats ie,an ectopic beat following each regular beat . Digitalis toxicity
  • 8. Pulsus paradoxus: Exaggerated decrease in strength of arterial pulse during inspiration, Inspiratory fall of SBP >10mmHg The radial pulse gets smaller in volume with inspiration and larger in volume with expiration . In this during inspiration the increased right ventricular volume results in bulging of interventricular septum into left ventricular cavity.This results in reduction in left ventricular volume leading to a further reduction in cardiac output.This exaggerats the normal inspiratory reduction in blood pressure ,allowing it to exceed 10mmHg.
  • 9. Cardiac temponade Constrictive pericarditis Acute asthma Superior vana cava obstruction Reverse pulsus paradoxus: It is an inspiratory rise in arterial pressure. Hypertrophic obstructive cardiomyopathy Intermittent positive pressure ventilation AV dissociaton