Pulsus bisferiens
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Synonyms and keywords: Bisferious pulse, biphasic pulse
Overview
Pulsus bisferiens, also bisferious pulse or biphasic pulse, is a sign where, on palpation of the pulse, a double peak per cardiac cycle can be appreciated. Bisferious means striking twice.
Differential diagnosis of causes of pulsus bisferiens
Classically, it is detected when aortic insufficiency exists in association with aortic stenosis, but may also be found in isolated but severe aortic insufficiency, and hypertrophic obstructive cardiomyopathy.
The first lift is due to "percussion wave"(P) and the second lift is due to tidal wave (T).
- If P>T - AR>AS
- If T>P - AS>AR
See also
External links
- Bisferious pulse - Dorland's Medical Dictionary
- Bisferious - Dictionary.com