Weak and delayed pulse: severe AS
Pulsus parvus et tardus
Slow, notched, or interrupted upstroke with thrill or shudder
Anacrotic pulse
Water-hammer, sharp rise and rapid fall-off: chronic sever AR
Corrigan’s pulse
(Two systolic peaks) : advanced AR, HCOM (bifid), intraaortic balloon counter pulsation or IABP (bifid with second pulse being diastolic)
Bifid or Bisferiens pulse
(Decreased SBP >10mmHg with inspiration): cardiac tamponade, massive PTE, hemorrhagic shock, severe COPD, tension pneumothorax
Pulsus paradoxus
beat to beat variability of pulse amplitude: severe LV systolic dysfunction
Pulsus alternans
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