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The condition known as pulsus paradoxus can be caused by many things. Some of these causes include decreased right heart functional reserve and right vernacular flow obstruction.

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Paradoxical temponade is what?

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Why does pulsus paradoxus occur?

Pulsus paradoxus occurs due to a significant drop in blood pressure during inhalation, typically seen in conditions like cardiac tamponade, severe asthma, or chronic obstructive pulmonary disease (COPD). During inhalation, increased intrathoracic pressure can impair venous return to the heart, leading to reduced stroke volume and subsequently lower systolic blood pressure. This phenomenon is characterized by a difference of more than 10 mmHg in blood pressure readings between inhalation and exhalation. It reflects underlying pathophysiological changes in the cardiovascular system in response to respiratory mechanics.


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What is pulsus paadoxus?

Pulsus paradoxus is a medical sign characterized by an exaggerated decrease in blood pressure during inspiration, typically greater than 10 mmHg. It is often associated with conditions such as cardiac tamponade, severe asthma, and chronic obstructive pulmonary disease (COPD). During inhalation, the increased negative intrathoracic pressure can lead to reduced venous return to the heart, causing the observable drop in blood pressure. Clinicians assess this phenomenon by measuring blood pressure while the patient breathes normally and then during deep inhalation.


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