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Pulsus alternans is a physical finding with arterial pulse waveform showing alternating strong and weak beats. [1] It is almost always indicative of left ventricular systolic impairment, and carries a poor prognosis.
Watson's water hammer pulse, also known as Corrigan's pulse or collapsing pulse, is the medical sign (seen in aortic regurgitation) which describes a pulse that is bounding and forceful, [1] rapidly increasing and subsequently collapsing, [2] as if it were the sound of a water hammer that was causing the pulse.
The thumb should not be used for measuring another person's heart rate, as its strong pulse may interfere with the correct perception of the target pulse. [citation needed] The radial artery is the easiest to use to check the heart rate. However, in emergency situations the most reliable arteries to measure heart rate are carotid arteries.
In medicine, the pulse is the rhythmic throbbing of each artery in response to the cardiac cycle (heartbeat). [1] The pulse may be palpated in any place that allows an artery to be compressed near the surface of the body, such as at the neck (carotid artery), wrist (radial artery or ulnar artery), at the groin (femoral artery), behind the knee (popliteal artery), near the ankle joint ...
The pulse of a person with athlete's heart can sometimes be irregular while at rest, but usually returns to normal after exercise begins. [12] [13] [14] Regarding differential diagnosis, left ventricular hypertrophy is usually indistinguishable from athlete's heart and at ECG, but can usually be discounted in the young and fit. [15] [16]
The impulse then spreads through both ventricles via the bundle of His and the Purkinje fibers causing a synchronized contraction of the heart muscle and, thus, the pulse. [citation needed] In adults, the normal resting heart rate ranges from 60 to 90 beats per minute. The resting heart rate in children is much faster.
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A pulse deficit between the PMI and periphery may occur in some arrhythmias, such as premature ventricular contraction or atrial fibrillation. Sustained apex beat, namely prolonged upward cardiac force during systole in a physical exam , can be seen in some chronic conditions such as hypertension and aortic stenosis , especially in elderly and ...