Le pouls paradoxal [Paradoxical pulse].

Details

Serval ID
serval:BIB_9D21819A16A4
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Le pouls paradoxal [Paradoxical pulse].
Journal
Schweizerische Rundschau für Medizin Praxis = Revue Suisse de Médecine Praxis
Author(s)
Mooser V., Regamey C., Stauffer J.C.
ISSN
1013-2058 (Print)
ISSN-L
1013-2058
Publication state
Published
Issued date
02/1994
Volume
83
Number
6
Pages
158-162
Language
french
Notes
Publication types: English Abstract ; Journal Article ; Review
Publication Status: ppublish
Abstract
Pulsus paradoxus is one of the cardinal signs of cardiac tamponade and must be looked for at bedside examination of any patient who presents a clinical picture of low cardiac output. This paper reviews the definition of pulsus paradoxus and the way to measure it noninvasively. We then discuss the physiological fluctuation of systemic blood pressure during respiration and the various mechanisms which lead to an exaggeration of this phenomenon during tamponade. The sensitivity and specificity of this sign are also discussed. Finally, the role of echocardiography in the diagnosis of cardiac tamponade is shortly presented, as this method appears to be very accurate and sensitive in evaluating the hemodynamic embarrassment associated with pericardial effusion.
Keywords
Blood Pressure, Cardiac Tamponade/diagnosis, Cardiac Tamponade/physiopathology, Echocardiography, Heart Auscultation, Humans, Pulse, Respiration
Pubmed
Create date
28/01/2008 10:29
Last modification date
20/08/2019 15:03
Usage data