Pulsus Paradoxus Definition | Medicalalgorithms.com

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Algorithm Usage

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Usage Limit: 100

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Evaluation

Pulsus Paradoxicus

MyLikes

MyPaths

Info

Are you evaluating a patient's pulse and blood pressure?

Yes No

Is the patient breathing normally?

Yes No

Systolic blood pressure during expiration in mm Hg

Systolic blood pressure during inspiration

mm Hg

Does the patient have evidence for?

• massive pulmonary embolism?

Yes No

• extreme hypotension or hemorrhagic shock?

Yes No

• severe asthma or severe emphysema?

Yes No

• cardiac tamponade?

Yes No

• constrictive pericarditis?

Yes No

• morbid obesity?

Yes No

Results

Pulsus Paradoxicus

MyLikes

MyPaths

Info

Results

Data complete?

Evaluation appropriate?

Inspiratory drop in systolic blood pressure

Does the patient show pulsus paradoxicus?

Number of conditions that could explain pulsus paradoxicus

Caution: A qualified health practitioner should verify all results. Keep patient data confidential and comply with all legal requirements.

Please visit our website Medicalalgorithms.com for Interpretation and Description and further algorithms you may want to consider in the next steps of your evaluation. All information should be verified by a qualified health professional, and all use is subject to The Medical Algorithms Terms and Conditions. Copyright © The Medical Algorithms Company Limited

Consider These Analytics

Diagnosis

Risk Factors

Shock Index

Imaging Studies

Stroke Volume and Cardiac Output
Vascular Resistances
Estimating Central Venous Pressure on Physical Examination

Laboratory Tests

Cardiac Output by Indicator-Dilution Method

Other Testing

Equations of Chemla et al for Estimating Mean Aortic Pressure
Equations of Jose and Collison for Predicting the Intrinsic Heart Rate (IHR)
Cardiac Output by Indicator-Dilution Method
Ratio of Pulse Pressure to Systolic Blood Pressure (Proportional Pulse)
Thigh to Ankle Gradient Index (TAGI)
Pulse Wave Velocity (PWV)
Central Augmentation Index (CAI)
Ankle to Brachial Index (ABI)
Blood Pressures
Vascular Resistances
Estimating Central Venous Pressure on Physical Examination
Inter-arm Blood Pressure Differences
Cardiac Output by Fick Method

Criteria For Diagnosis

Ratio of Pulse Pressure to Systolic Blood Pressure (Proportional Pulse)
Inter-arm Blood Pressure Differences

Severity, Prognosis, Stage

Shock Index
Profunda Popliteal Collateral Index (PPCI)
Thigh to Ankle Gradient Index (TAGI)
Pulse Wave Velocity (PWV)
Central Augmentation Index (CAI)

Complications

Equations of Chemla et al for Estimating Mean Aortic Pressure
Shock Index
Ratio of Pulse Pressure to Systolic Blood Pressure (Proportional Pulse)

Therapy

Selection

Shock Index
Ratio of Pulse Pressure to Systolic Blood Pressure (Proportional Pulse)
Thigh to Ankle Gradient Index (TAGI)
Pulse Wave Velocity (PWV)
Central Augmentation Index (CAI)

Monitoring

Complication Detection

Equations of Chemla et al for Estimating Mean Aortic Pressure
Shock Index
Ratio of Pulse Pressure to Systolic Blood Pressure (Proportional Pulse)
Cardiac Output by Fick Method

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Algorithm Information

Pulsus Paradoxicus

MyLikes

MyPaths

Purpose:

To evaluate a patient for evidence of pulsus paradoxicus.

Specialty

Cardiology
Emergency Medicine
Pulmonology

Objective

Imaging studies
Other testing

ICD-10

I31

References

Interpretation and Description

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