Pulsus bisferiens
Pulsus bisferiens is a medical condition characterized by a pulse with two strong systolic peaks per cardiac cycle. The condition is typically associated with aortic regurgitation and hypertrophic cardiomyopathy.
Overview[edit | edit source]
Pulsus bisferiens, also known as "bifid pulse," is a clinical sign that can be identified through physical examination. It is often detected when a healthcare provider palpates the patient's radial artery. The double-peaked pulse is indicative of certain underlying cardiovascular conditions, most notably aortic regurgitation and hypertrophic cardiomyopathy.
Causes[edit | edit source]
The primary causes of pulsus bisferiens include:
- Aortic regurgitation: This is a condition where the aortic valve does not close tightly, causing blood to leak back into the left ventricle. This can lead to a double-peaked pulse as the heart works harder to pump blood.
- Hypertrophic cardiomyopathy: This is a disease in which the heart muscle becomes abnormally thick, making it harder for the heart to pump blood. This can also result in a double-peaked pulse.
Diagnosis[edit | edit source]
Diagnosis of pulsus bisferiens is typically made through a physical examination, where a healthcare provider will palpate the patient's radial artery. If a double-peaked pulse is detected, further diagnostic tests may be conducted to identify the underlying cause. These tests may include an echocardiogram, electrocardiogram, or cardiac MRI.
Treatment[edit | edit source]
Treatment for pulsus bisferiens is primarily focused on managing the underlying condition causing the double-peaked pulse. This may involve medication, lifestyle changes, or in severe cases, surgery.
See also[edit | edit source]
References[edit | edit source]
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Contributors: Prab R. Tumpati, MD