Alteration in Pulse


Alteration in Pulse

1.        Tachycardia: Excessively fast rate over 100beats per minute in an adult.
2.        Bradycardia: a heart rate in an adult of less than 60 beats per minute in an adult
Alteration in Rhythm
3.        Dysrhythmia / arrhythmia: a pulse with an irregular rhythm
4.        Intermittent pulse: is one in which the beats are missed at regular intervals
5.        Pulse deficit: difference between the apical and the radial pulse
6.        Extra systoles: When cardiac contractions occur prematurely is called extra systolic pulse. (ectopic beat )
7.        Atrial fibrillation: rapid contraction of atrium causing irregular contraction of ventricles.
8.        Ventricular fibrillations: Rapid twitching (uncoordinated contraction) of the ventricles.
9.        Sinus arrhythmia: Condition in which the pulse rate is rapid during inspiration and slow during expiration.
10.    Dicrotic pulse:  there is one heart beat and two arterial pulsations giving the sensation of double beat.
Alteration in Pulse Volume
1.       Water Hammer Pulse or Corrigans Pulse or collapsing pulse: Rapidly collapsing pulse occurring in aortic regurgitation or incompetence, where the blood having been forced into artery by the ventricular contraction, regurgitates back into the ventricle
2.       Bounding Pulse: Signifies stroke volume as seen in exercises, anxiety, anemia
3.       Pulsus alternans: the rhythm is regular but the volume has an alterative strong and weak character. This may be noticed in the left ventricular failure, heart block
4.       Bigeminal Pulse: it is accompanied by an irregular rhythm in which every other beat comes early E.g. MI
5.       Weak/ thready Pulse: A small weak pulse that feels like a wire or thread on the palpation of arteries E.g. Diarrhea, Vomiting, Shock

6.       Paradoxical Pulse: force or strength of the pulse wave varies feeling weaker when the patient takes in a breath.



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Alteration in Pulse
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