Paradoxical Pulse
Paradoxical pulse (reduction in systolic blood pressure during inspiration) is a sign common to many pathological conditions affecting the heart and lungs. The aim of this paper was to determine its mechanism on the basis of recent publications in the literature, supported by personal clinical cases. Define paradoxical. Paradoxical synonyms, paradoxical pronunciation, paradoxical translation, English dictionary definition of paradoxical. A statement that seems to contradict itself but may nonetheless be true: the paradox that standing is more tiring than walking. Related to paradoxical: paradoxical sleep, Paradoxical intention.
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- Cardiac tamponade is the classic cause of pulsus paradoxus, but it can also be seen from a PE or hypovolemic shock. Many cardiac tamponade patients exhibit the classic “Beck Triad”: low blood pressure, increased JVP, and distant heart sounds. Anesthestic management for suspected cardiac tamponade could include arterial monitoring and CVP.
- Pulsus paradoxus (also paradoxical pulse, pulsus respiratio, Kussmaul pulse) is a historic term acknowledging the paradox of a fluctuating pulse volume despite regular heart sounds, with the fluctuations associated with the respiratory cycle. Gauchat's succinct and elegant 1924 definition of pulsus paradoxus is notable.
- By common consent, the term paradoxical pulse, or 'pulsus paradoxus,' is considered to refer to a phenomenon in which the peripheral pulse is markedly diminished, or even abolished, during ordinary.
Related to paradoxical pulse: cardiac tamponade, pericarditis, Electrical alternans, Pericardial effusion, pulsus alternans
pulse 1
(pŭls)n.1. The rhythmical throbbing of arteries produced by the regular contractions of the heart, especially as palpated at the wrist or in the neck.
2. b. A single beat or throb.
3. Physicsa. A brief sudden change in a normally constant quantity: a pulse of current; a pulse of radiation.
b. Any of a series of intermittent occurrences characterized by a brief sudden change in a quantity.
4. The perceptible emotions or sentiments of a group of people: 'a man who had ... his finger on the pulse of America'(Thomas P. O'Neill, Jr.).
v.intr.1. To pulsate; beat: 'The nation pulsed with music and proclamation, with rages and moral pretensions'(Lance Morrow).
2. Physics To undergo a series of intermittent occurrences characterized by brief, sudden changes in a quantity.
v.tr. To chop in short bursts, as in a food processor: The cook pulsed the leeks and added some coriander.
Idiom: take the pulse of To judge the mood or views of (a political electorate, for example): The politician was able to take the pulse of the grass-roots voters.
[Middle English pous, puls, from Old French pous, pulz, from Latin pulsus, from past participle of pellere, to beat; see pel- in Indo-European roots.]
pulse 2
(pŭls)n.1. The edible seeds of certain pod-bearing plants, such as lentils and chickpeas.
[Middle English pols, puls, from Latin puls, pottage of meal and pulse, probably ultimately from Greek poltos.]
American Heritage® Dictionary of the English Language, Fifth Edition. Copyright © 2016 by Houghton Mifflin Harcourt Publishing Company. Published by Houghton Mifflin Harcourt Publishing Company. All rights reserved.
pulse
(pʌls) n1. (Physiology) physiola. the rhythmic contraction and expansion of an artery at each beat of the heart, often discernible to the touch at points such as the wrists
2. (Electronics) physicselectronicsa. a transient sharp change in voltage, current, or some other quantity normally constant in a system
b. one of a series of such transient disturbances, usually recurring at regular intervals and having a characteristic geometric shape
c. (as modifier): a pulse generator. Less common name: impulse
3. (General Physics) physicselectronicsa. a transient sharp change in voltage, current, or some other quantity normally constant in a system
b. one of a series of such transient disturbances, usually recurring at regular intervals and having a characteristic geometric shape
c. (as modifier): a pulse generator. Less common name: impulse
4. a. a recurrent rhythmic series of beats, waves, vibrations, etc
5. bustle, vitality, or excitement: the pulse of a city.
6. (Sociology) the feelings or thoughts of a group or society as they can be measured: the pulse of the voters.
7. keep one's finger on the pulse to be well-informed about current events
vb9. (tr) to provide an electronic pulse to operate (a slide projector)
[C14 pous, from Latin pulsus a beating, from pellere to beat]
pulse
(pʌls) n1. (Cookery) the edible seeds of any of several leguminous plants, such as peas, beans, and lentils
2. (Plants) the plant producing any of these seeds
[C13 pols, from Old French, from Latin puls pottage of pulse]
Collins English Dictionary – Complete and Unabridged, 12th Edition 2014 © HarperCollins Publishers 1991, 1994, 1998, 2000, 2003, 2006, 2007, 2009, 2011, 2014
pulse1
(pʌls)n., v. pulsed, puls•ing.n.
1. the regular throbbing of the arteries, caused by the successive contractions of the heart, esp. as may be felt at an artery, as at the wrist.
2. a single pulsation of the arteries or heart.
3. a stroke, vibration, or undulation, or a rhythmic series of these.
4. the prevailing attitudes or sentiments, as of the public.
5. a momentary, sudden fluctuation in an electrical quantity, as in voltage or current.
6. a single, abrupt emission of particles or radiation.
v.i. 8. to vibrate or undulate.
9. to emit particles or radiation periodically in short bursts.
v.t. [1375–1425; Middle English puls < Latin pulsus beating, striking, pulse, derivative (with -tus suffix of v. action) of pellere to beat, strike]
pulse2
(pʌls)n.
1. the edible seeds of certain leguminous plants, as peas or beans.
[1250–1300; Middle English puls (< Old French pouls) < Latin: porridge of spelt or another grain. compare poultice]
Random House Kernerman Webster's College Dictionary, © 2010 K Dictionaries Ltd. Copyright 2005, 1997, 1991 by Random House, Inc. All rights reserved.
pulse
(pŭls) The rhythmical expansion and contraction of the arteries as blood is pumped through them by the beating of the heart.
The American Heritage® Student Science Dictionary, Second Edition. Copyright © 2014 by Houghton Mifflin Harcourt Publishing Company. Published by Houghton Mifflin Harcourt Publishing Company. All rights reserved.
pulse
- light year - Not a length of time but a distance, the distance a pulse of light travels in one year (about 5.88 trillion miles).
- pea - Comes from Greek pison, 'pulse, pease.'
- asphyxia - Its original meaning was stoppage of the pulse.
- ictus - The beat of the pulse, based on the Latin word for 'stroke.'
Farlex Trivia Dictionary. © 2012 Farlex, Inc. All rights reserved.
pulse
Past participle: pulsed
Gerund: pulsing
| Imperative |
|---|
| pulse |
| pulse |
| Present |
|---|
| I pulse |
| you pulse |
| he/she/it pulses |
| we pulse |
| you pulse |
| they pulse |
| Preterite |
|---|
| I pulsed |
| you pulsed |
| he/she/it pulsed |
| we pulsed |
| you pulsed |
| they pulsed |
| Present Continuous |
|---|
| I am pulsing |
| you are pulsing |
| he/she/it is pulsing |
| we are pulsing |
| you are pulsing |
| they are pulsing |
| Present Perfect |
|---|
| I have pulsed |
| you have pulsed |
| he/she/it has pulsed |
| we have pulsed |
| you have pulsed |
| they have pulsed |
| Past Continuous |
|---|
| I was pulsing |
| you were pulsing |
| he/she/it was pulsing |
| we were pulsing |
| you were pulsing |
| they were pulsing |
| Past Perfect |
|---|
| I had pulsed |
| you had pulsed |
| he/she/it had pulsed |
| we had pulsed |
| you had pulsed |
| they had pulsed |
| Future |
|---|
| I will pulse |
| you will pulse |
| he/she/it will pulse |
| we will pulse |
| you will pulse |
| they will pulse |
| Future Perfect |
|---|
| I will have pulsed |
| you will have pulsed |
| he/she/it will have pulsed |
| we will have pulsed |
| you will have pulsed |
| they will have pulsed |
| Future Continuous |
|---|
| I will be pulsing |
| you will be pulsing |
| he/she/it will be pulsing |
| we will be pulsing |
| you will be pulsing |
| they will be pulsing |
| Present Perfect Continuous |
|---|
| I have been pulsing |
| you have been pulsing |
| he/she/it has been pulsing |
| we have been pulsing |
| you have been pulsing |
| they have been pulsing |
| Future Perfect Continuous |
|---|
| I will have been pulsing |
| you will have been pulsing |
| he/she/it will have been pulsing |
| we will have been pulsing |
| you will have been pulsing |
| they will have been pulsing |
| Past Perfect Continuous |
|---|
| I had been pulsing |
| you had been pulsing |
| he/she/it had been pulsing |
| we had been pulsing |
| you had been pulsing |
| they had been pulsing |
| Conditional |
|---|
| I would pulse |
| you would pulse |
| he/she/it would pulse |
| we would pulse |
| you would pulse |
| they would pulse |
| Past Conditional |
|---|
| I would have pulsed |
| you would have pulsed |
| he/she/it would have pulsed |
| we would have pulsed |
| you would have pulsed |
| they would have pulsed |
Collins English Verb Tables © HarperCollins Publishers 2011
pulse
The regular throbbing of an artery, which can be felt as it expands each time the heart pumps blood through it.
Dictionary of Unfamiliar Words by Diagram Group Copyright © 2008 by Diagram Visual Information Limited
| Noun | 1. | pulse - (electronics) a sharp transient wave in the normal electrical state (or a series of such transients); 'the pulsations seemed to be coming from a star' pulsation, pulsing, impulse electronics - the branch of physics that deals with the emission and effects of electrons and with the use of electronic devices undulation, wave - (physics) a movement up and down or back and forth |
| 2. | pulse - the rhythmic contraction and expansion of the arteries with each beat of the heart; 'he could feel the beat of her heart' periodic event, recurrent event - an event that recurs at intervals diastole - the widening of the chambers of the heart between two contractions when the chambers fill with blood systole - the contraction of the chambers of the heart (especially the ventricles) to drive blood into the aorta and pulmonary artery throbbing, pounding, throb - an instance of rapid strong pulsation (of the heart); 'he felt a throbbing in his head' | |
| 3. | pulse - the rate at which the heart beats; usually measured to obtain a quick evaluation of a person's health vital sign - sign of life; usually an indicator of a person's general physical condition; 'he was still alive but his vital signs were weak' femoral pulse - pulse of the femoral artery (felt in the groin) radial pulse - pulse of the radial artery (felt in the wrist) rate - a magnitude or frequency relative to a time unit; 'they traveled at a rate of 55 miles per hour'; 'the rate of change was faster than expected' | |
| 4. | pulse - edible seeds of various pod-bearing plants (peas or beans or lentils etc.) legume - the seedpod of a leguminous plant (such as peas or beans or lentils) | |
| Verb | 1. | pulse - expand and contract rhythmically; beat rhythmically; 'The baby's heart was pulsating again after the surgeon massaged it' pulsate, quiver, beat - move with or as if with a regular alternating motion; 'the city pulsated with music and excitement' thump, beat, pound - move rhythmically; 'Her heart was beating fast' |
| 2. | pulse - produce or modulate (as electromagnetic waves) in the form of short bursts or pulses or cause an apparatus to produce pulses; 'pulse waves'; 'a transmitter pulsed by an electronic tube' produce, create, make - create or manufacture a man-made product; 'We produce more cars than we can sell'; 'The company has been making toys for two centuries' | |
| 3. | pulse - drive by or as if by pulsation; 'A soft breeze pulsed the air' move, displace - cause to move or shift into a new position or place, both in a concrete and in an abstract sense; 'Move those boxes into the corner, please'; 'I'm moving my money to another bank'; 'The director moved more responsibilities onto his new assistant' |
Based on WordNet 3.0, Farlex clipart collection. © 2003-2012 Princeton University, Farlex Inc.
pulse
noun1.beat, rhythm, vibration, beating, stroke, throb, throbbing, oscillation, pulsationthe repetitive pulse of the music
verb1.beat, tick, throb, vibrate, pulsateHer feet pulsed with pain.
Collins Thesaurus of the English Language – Complete and Unabridged 2nd Edition. 2002 © HarperCollins Publishers 1995, 2002
pulse
nounA periodic contraction or sound of something coursing:
verbTo make rhythmic contractions, sounds, or movements:
The American Heritage® Roget's Thesaurus. Copyright © 2013, 2014 by Houghton Mifflin Harcourt Publishing Company. Published by Houghton Mifflin Harcourt Publishing Company. All rights reserved.
pulsteptepat
pulzus
맥박
pulsētpulss
pulz
puls
pulse
1[pʌls]A.N (Anat) → pulsom (Phys) → pulsaciónf (fig) [of drums, music] → ritmom, compásm
to take sb's pulse → tomar el pulso a algn
he keeps his finger on the company's pulse → está tomandoconstantemente el pulsoa lacompañía, se mantiene al tanto de lo quepasaen lacompañía
to take sb's pulse → tomar el pulso a algn
he keeps his finger on the company's pulse → está tomandoconstantemente el pulsoa lacompañía, se mantiene al tanto de lo quepasaen lacompañía
C.CPDpulse beatN → latidomdelpulso
pulse rateN → frecuenciafdelpulso
pulse rateN → frecuenciafdelpulso
pulse
2[pʌls]N (Bot, Culin) → legumbrefCollins Spanish Dictionary - Complete and Unabridged 8th Edition 2005 © William Collins Sons & Co. Ltd. 1971, 1988 © HarperCollins Publishers 1992, 1993, 1996, 1997, 2000, 2003, 2005
pulse
[ˈpʌls]n [person] → poulsm
to take sb's pulse, to feel sb's pulse → prendre le pouls de qn
The nurse felt his pulse → L'infirmière a pris son pouls.
to have one's finger on the pulse → prendre la température
to have one's finger on the pulse of sth → prendre le pouls de qch, prendre la température de qch
to take sb's pulse, to feel sb's pulse → prendre le pouls de qn
The nurse felt his pulse → L'infirmière a pris son pouls.
to have one's finger on the pulse → prendre la température
to have one's finger on the pulse of sth → prendre le pouls de qch, prendre la température de qch
[current] → pulsationf; [sound] → pulsationf
pulse of current →
sound pulse →
pulse of current →
sound pulse →
(= edible seed) (pea, bean, lentil etc) → légumemsec
Collins English/French Electronic Resource. © HarperCollins Publishers 2005
pulse
1n (Anat) → Pulsm; (Phys) → Impulsm; (fig: of drums, music) → Rhythmusm; pulse beat → Pulsschlagm; to feel or take somebody’s pulse → jdm den Pulsfühlen; he felt the pulse of life in his veins → er spürte, wie das Leben in seinen Adernpulsierte; he still has or keeps his finger on the pulse of economic affairs → er hat in Wirtschaftsfragen immer noch den Finger am Puls der Zeit
pulse
2n (Bot, Cook) → Hülsenfruchtf
Collins German Dictionary – Complete and Unabridged 7th Edition 2005. © William Collins Sons & Co. Ltd. 1980 © HarperCollins Publishers 1991, 1997, 1999, 2004, 2005, 2007
pulse
[pʌls]n (Anat) → polso (Phys) → impulso (fig) (of drums, music) → vibrazionefto feel or take sb's pulse → sentireortastare il polso a qn
Collins Italian Dictionary 1st Edition © HarperCollins Publishers 1995
pulse
(pals) noun the regular beating of the heart, which can be checked by feeling the pumping action of the artery in the wrist. The doctor felt/took her pulse. pols نَبْض пулc pulso puls der Puls puls σφυγμόςpulso pulss نبض syke poulsדופק नब्ज, नाड़ी pulzus denyut nadi púls polso 脈博 맥박 pulsas pulss denyutan nadi polsslagpulspuls, tętno د لاس بند، نبض pulso puls пульс pulz utrip puls puls ชีพจร nabız 脈博 пульс; биття دل کي دھڑکن، بنض nhịp đập; mạch 脉博
verb to throb. pols يَنْبض، يَخْفق пулсирам pulsar tepat pulsieren dunke σφύζω, πάλλομαιlatir, palpitar tuikama تپیدن sykkiä battre לִפעוֹם स्पन्दन करना, धड़काना lüktet berdenyut slá, hamast pulsare, battere 脈打つ 맥박 치다 pulsuoti pulsēt berdebar pulseren, kloppenbanke, pulsere pulsować دربيدل،پريدل pulsar a bate биться pulzovať utripati pulsirati pulsera เต้นเป็นจังหวะ atmak, çarpmak (心臟)跳動 пульсувати, битися دھڑکنا đập （心脏）跳动
pulsate (palˈseit) , ((American) ˈpalseit) verb to beat or throb. pols, klop يَنْبُض، يخْفِق пулсирам pulsar pulsovat pulsieren slå; dunke πάλλομαιlatir, palpitar tuksuma, pulseerima تپیدن؛ زدن sykkiä battre לְהַפעִים धड़कना, फड़कना lüktet berdenyut slá pulsare, battere 脈打つ 고동치다, 맥박 치다 pulsuoti pulsēt berdenyut pulserenslå, pulsere, dunke pulsować دربيدل، وهل pulsar a pulsa, a bate биться, пульсировать pulzovať utripati pulsirati pulsera เต้นเป็นจังหวะ atmak, çarpmak (心臟)跳動 пульсувати; вібрувати دھڑکنا، پھڑکنا đập （心脏）跳动
pulsation (palˈseiʃən) noun polsing نَبْض، خَفَقان، نَبْضَه биене pulsação pulsování das Pulsieren pulseren σφυγμός, παλμόςpulsación tukse تپش sykintä pulsationפעימה स्पन्दन (ér)verés, lüktetés denyutan sláttur pulsazione, battito 脈博 고동, 맥박, 파동, (고의로 화를 내어) 남의 몸과 접촉하는 일 pulsavimas pulsācija denyutan pulsatie, klopping hjerteslag, pulsering pulsacja د زړه اورګونه pulsação pulsaţie пульсация pulzovanie utripanje pulsiranje pulserande การเต้นเป็นจังหวะ nabız atışı, vuruş 跳動 пульсація دھڑکن، ارتعاش nhịp tim đập 跳动
Kernerman English Multilingual Dictionary © 2006-2013 K Dictionaries Ltd.
pulse
→ نَبْضَة tep pulsPulsσφυγμόςpulso sykepouls pulsbattito cardiaco 脈拍 맥박polsslagpulspulspulsoпульс puls ชีพจรnabız mạch脉搏Multilingual Translator © HarperCollins Publishers 2009
pulse
n. pulso, dilatación arterial rítmica que gen. coincide con los latidos cardíacos;bigeminal ___ → ___ bigeminado;
dorsalis pedis ___ → ___ de la arteria dorsal del pie;
filiform ___ → ___ filiforme;
irregular ___ → ___ irregular;
___ pressure → presión del pulso, diferencia entre la presión sistólica y la diastólica;
rapid ___ → ___ rápido;
water hammer ___ → ___ en martillo de agua. V. cuadro en la página 218.
pulse
Paradoxical Pulse
n pulso; I’m going to take your pulse..Voy a tomarle el pulso..pulse of steroids..pulso de esteroides; carotid (radial, etc.) — pulso carotídeo (radial, etc.)English-Spanish/Spanish-English Medical Dictionary Copyright © 2006 by The McGraw-Hill Companies, Inc. All rights reserved.
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Also found in: Wikipedia.
pulsus
[Paradoxical Pulse Cause
pul´sus] (L.)pulsus alter´nansalternating pulse.
pulsus bisfe´riens a pulse characterized by two strong systolic peaks separated by a midsystolic dip, most commonly occurring in pure aortic regurgitation with stenosis.
pulsus dif´ferens inequality of the pulse observable at corresponding sites on either side of the body.
pulsus par´vus et tar´dus a small hard pulse that rises and falls slowly.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.
par·a·dox·ic pulse
an exaggeration of the normal variation in the systemic arterial pulse volume with respiration, becoming weaker with inspiration and stronger with expiration; characteristic of cardiac tamponade, rare in constrictive pericarditis; so called because these changes are independent of changes in the cardiac rate as measured directly or by electrocardiogram.
Synonym(s): pulsus paradoxus, pulsus respiratione intermittens
pulsus paradoxus
Cardiology A marked ↓ in pulse amplitude during normal quiet inspiration or a ↓ in the systolic pressure by > 10 mm Hg, a typical finding in cardiac tamponade, less common in constrictive pericarditis–quantifiable by a sphygmomanometer, superior vena cava obstruction, asthma, PE, shock, or after thoracotomyMcGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.
par·a·dox·ic pulse
(Pulsus Paradoxus Assessment
par'ă-doks'ik pŭls)A reversal of the normal variation in the pulse volume with respiration, the pulse becoming weaker with inspiration and stronger with expiration; characteristic of cardiac tamponade and rare in constrictive pericarditis. So called because these changes are independent of changes in the cardiac rate as measured directly or by electrocardiogram.
Synonym(s): pulsus paradoxus.
Synonym(s): pulsus paradoxus.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012
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