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Pulsus paradoxus, also paradoxic pulse or paradoxical pulse, is an abnormally large decrease in stroke volume, systolic blood pressure (a drop more than 10 mmHg) and pulse wave amplitude during inspiration. Pulsus paradoxus is not related to pulse rate or heart rate, and it is not a paradoxical rise in systolic pressure.
Pallor and pulselessness: A lack of pulse rarely occurs in patients, as pressures that cause compartment syndrome are often well below arterial pressures. Absent pulses only occur when there is arterial injury or during the late stages of the compartment syndrome, when compartment pressures are very high. [5]
The physical examination to diagnose cardiac arrest focuses on the absence of a pulse. [30] In many cases, lack of a central pulse (carotid arteries or subclavian arteries) is the gold standard. Lack of a pulse in the periphery (radial/pedal) may also result from other conditions (e.g. shock) or be the rescuer's misinterpretation.
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 ...
Ventricular fibrillation (V-fib or VF) is an abnormal heart rhythm in which the ventricles of the heart quiver. [2] It is due to disorganized electrical activity. [2] Ventricular fibrillation results in cardiac arrest with loss of consciousness and no pulse. [1]
An auscultatory gap, also known as the silent gap, [1] is a period of diminished or absent Korotkoff sounds during the manual measurement of blood pressure.It is associated with peripheral blood flow caused by changes in the pulse wave. [2]
Absent pulse in fast and abnormal heart rhythms. Pulmonary edema , involving fluid back-up in the lungs due to insufficient pumping of the heart. Loss of consciousness , coma , and persistent vegetative state due to loss of blood and oxygen to the brain.
Decreased or absent pulses; Muscle atrophy or wasting; Noticeable blueness of the affected limb; Decreased temperature (coolness) in the affected limb when compared to the other; Thickened nails; Smooth or shiny skin and hair loss; Buerger's test can check for pallor when the affected limb is in an elevated position. The limb is then moved from ...