Pulse

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Atrial Fibrillation
Atrial Flutter
Bradycardia
Palpitations
Paroxysmal Supraventricular Tachycardia
Ventricular Tachycardia
Wolff Parkinson White Syndrome

Pulse

• Rate
• rhythm
  • sinus arrhythmia
    • changes with breathing
  • irregular
    • atrial fibrillation
    • ectopic beats
    • auscultate for rate
      • pulse deficit?
• character (right carotid artery)
  • volume
  • symmetry of peripheral pulses
• waveform
  • slow rising
    • aortic stenosis
  • collapsing
    •  aortic regurgitation
  • bisferiens
    • 2 peaks
    • aortic stenosis + regurgitation
  • alternans
    • high and low systole
    • Left ventricular failure
  • paradoxus
    • BP falls excessively on inspiration
    • asthma
    • constrictive pericarditis
    • cardiac tamponade

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