Cardiovascular Medicine Book

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Pulsus ParadoxusAka: Paradoxical Pulse

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  1. Definition
    1. Inspiratory decrease in arterial pressure >10 mm Hg
    2. Inspiratory venous pressure unchanged (Kussmaul's Sign)
  2. Causes
    1. Pericardial Effusion
    2. Adhesive Pericarditis
    3. Cardiac Tamponade
    4. Pulmonary Emphysema
    5. Severe Asthma
    6. Para-mediastinal effusion
    7. Endocardial fibrosis
    8. Myocardial Amyloidosis
    9. Scleroderma
    10. Mitral Stenosis with right Heart Failure
    11. Tricuspid stenosis
    12. Hypovolemia
    13. Pulmonary Embolism
  3. Signs
    1. Palpable decrease in pulse with inspiration
    2. Inspiratory systolic Blood Pressure decreased
      1. Over 10 mm Hg less than expiratory pressure

Pulsus paradoxus (C0232118)

ConceptsFinding (T033)
EnglishFinding of paradoxical pulse volume, Kussmaul pulse, Paradoxical pulse, Paradoxical pulse volume, Paradoxical pulse volume - finding, Pulsus paradoxus
Spanishpulso de Kussmaul, pulso paradojico, volumen del pulso paradojico - hallazgo
Parent ConceptsDuplicate concept (C1274013), Pulse volume - finding (C1287728)
SourcesDXP, QMR, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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