CC-BY-NC-ND 4.0 · Ind J Car Dis Wom 2017; 02(04): 099-110
DOI: 10.1055/s-0038-1636691
Clinical Rounds
Women in Cardiology and Related Sciences

Arterial Pulse

Jyotsna Maddury
1  Department of Cardiology, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Telangana, India
› Author Affiliations
Further Information

Publication History

Publication Date:
04 May 2018 (online)

Introduction

The arterial pulse is an important vital sign. It is the abrupt expansion of an artery resulting from the sudden ejection of blood into the aorta and its transmission throughout the arterial system. Ejection of blood with every cardiac contraction is converted to flow, pressure, and dimension pulsations in arteries throughout the body. Although the term “pulse” refers to any such pulsation, the arterial pulse perceived by a clinician is the pressure pulse in a large, accessible artery. The impulse that results from left ventricular (LV) ejection can be transmitted down the aorta at a velocity 20 times greater than the velocity of the ejected blood bolus. The peak of this arterial pulse is the systolic blood pressure.[1]

 
  • References

  • 1 Moran JF. Pulse. In: Walker HK, Hall WD, Hurst JW. eds. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd ed. Boston, MA: Butterworths; 1990. Available at: https://www.ncbi.nlm.nih.gov/books/NBK278/. Accessed February 28, 2018
  • 2 Hurst JW, Fuster V, Walsh RA, Harrington RA. A history of the heart, cardiac diseases, and the development of cardiovascular medicine. In: Hurst JW. ed. The Heart.. New York, NY: McGraw-Hill Medical; 2011: 3-6
  • 3 Marx HJ, Yu PN. Clinical examination of the arterial pulse. Prog Cardiovasc Dis 1967; 10 (03) 207-235
  • 4 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. eds. Cardiac catheterization and angiography. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 215
  • 5 Hurst JW, Fuster V, Walsh RA, Harrington RA. Normal physiology of the cardiovascular system. In: Hurst JW. ed. The Heart.. New York: McGraw-Hill Medical; 2011: 110
  • 6 O'Rourke MF, Avolio AP. Pulsatile flow and pressure in human systemic arteries. Studies in man and in a multibranched model of the human systemic arterial tree. Circ Res 1980; 46 (03) 363-372
  • 7 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. History and physical examination. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 60
  • 8 Mann DL, Zipes D, Libby P, Bonow R. ST elevation myocardial infarction: pathology, pathophysiology and clinical features. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Elsevier/Saunders; 2015: 1102
  • 9 Mann DL, Zipes D, Libby P, Bonow R. History and physical examination. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Elsevier/Saunders; 2015: 112-114
  • 10 Mann DL, Zipes D, Libby P, Bonow R. eds. Specific arrythmias: diagnosis and treatment. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Elsevier/Saunders; 2015: 796
  • 11 O'Rourke RA. Physical examination of the arteries and veins. In: Hurst JW. ed. The Heart,. 6th ed. New York: McGraw-Hill; 1986: 138-151
  • 12 Smith JJ, Kampine JP. Pressure and flow in the arterial and venous systems. In: Circulatory Physiology: The Essentials. 2nd ed. Baltimore, MD: Williams and Wilkins; 1984: 91-109
  • 13 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Patent ductus arteriosus and aortopulmonary window. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 686-689 -692 -693
  • 14 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Patent ductus arteriosus and aortopulmonary window. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 689
  • 15 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Patent ductus arteriosus and aortopulmonary window. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 692
  • 16 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Patent ductus arteriosus and aortopulmonary window. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 693
  • 17 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Cardiac intensive care. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 453
  • 18 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Coarctation of the aorta. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 991-992
  • 19 Mann DL, Zipes D, Libby P, Bonow R. eds. Congenital heart disease. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Elsevier/Saunders; 2015: 1455
  • 20 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Hypoplastic left heart Syndrome. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016
  • 21 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Tetralogy of Fallot. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 895
  • 22 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Tricuspid atresia, stenosis, and regurgitation. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 832
  • 23 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Pulmonary atresia and ventricular septal defect. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 881
  • 24 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Truncus arteriosus. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 914
  • 25 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Transposition of the great arteries. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 1054
  • 26 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Congenital anomalies of the coronary vessels and the aortic root. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 712
  • 27 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Aortic arch anomalies. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 756
  • 28 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Aortic arch anomalies. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 747
  • 29 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Aortic arch anomalies. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 749
  • 30 Mann DL, Zipes D, Libby P, Bonow R. eds. Valvular heart disease. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Elsevier/Saunders; 2015: 1481
  • 31 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Rheumatic fever and rheumatic heart disease. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 1264
  • 32 Mann DL, Zipes D, Libby P, Bonow R. eds. Valvular heart disease. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Elsevier/Saunders; 2015: 1473-1474
  • 33 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Aortic stenosis. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 978
  • 34 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Aortic stenosis. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 983
  • 35 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Hypertrophic cardiomyopathy. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 1183
  • 36 Mann DL, Zipes D, Libby P, Bonow R. eds. Hypertrophic cardiomyopathy. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Elsevier/Saunders; 2015: 1588
  • 37 Hurst JW, Fuster V, Walsh RA, Harrington RA. Hypertrophic cardiomyopathy. In: Hurst JW. ed. The Heart.. New York: McGraw-Hill Medical; 2011: 841
  • 38 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Pericardial diseases. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 1291
  • 39 Mann DL, Zipes D, Libby P, Bonow R. Pericardial diseases. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 1656
  • 40 Mann DL, Zipes D, Libby P, Bonow R. Pericardial diseases. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 1670
  • 41 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Vascular anomalies. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 720
  • 42 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Vascular anomalies. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 723
  • 43 Mann DL, Zipes D, Libby P, Bonow R. Diseases of aorta. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Elsevier/Saunders; 2015: 1321-1322
  • 44 Mann DL, Zipes D, Libby P, Bonow R. Peripheral arterial disease. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Elsevier/Saunders; 2015: 1355
  • 45 Mann DL, Zipes D, Libby P, Bonow R. Inflammatory non-infectious cardiovascular diseases. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Elsevier/Saunders; 2015: 1288
  • 46 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Cardiac catheterization and angiography. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 236
  • 47 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Cardiac intensive care. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 452
  • 48 Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F. Transposition of the great arteries. In: Moss & Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 9th ed. Philadelphia, PA: Wolters Kluwer Health; 2016: 1081
  • 49 Mann DL, Zipes D, Libby P, Bonow R. Cardiac arrest and sudden cardiac death. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Elsevier/Saunders; 2015: 861-864
  • 50 Mann DL, Zipes D, Libby P, Bonow R. Traumatic heart diseases. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Elsevier/Saunders; 2015: 1675
  • 51 Mann DL, Zipes D, Libby P, Bonow R. Pulmonary embolism. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Elsevier/Saunders; 2015: 1687