Le pouls paradoxal [Paradoxical pulse].

Détails

ID Serval
serval:BIB_9D21819A16A4
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Le pouls paradoxal [Paradoxical pulse].
Périodique
Schweizerische Rundschau für Medizin Praxis = Revue Suisse de Médecine Praxis
Auteur⸱e⸱s
Mooser V., Regamey C., Stauffer J.C.
ISSN
1013-2058 (Print)
ISSN-L
1013-2058
Statut éditorial
Publié
Date de publication
02/1994
Volume
83
Numéro
6
Pages
158-162
Langue
français
Notes
Publication types: English Abstract ; Journal Article ; Review
Publication Status: ppublish
Résumé
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.
Mots-clé
Blood Pressure, Cardiac Tamponade/diagnosis, Cardiac Tamponade/physiopathology, Echocardiography, Heart Auscultation, Humans, Pulse, Respiration
Pubmed
Création de la notice
28/01/2008 11:29
Dernière modification de la notice
20/08/2019 16:03
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