Pulsus paradoxus
Description
- Pathological decrease in the pulse wave amplitude and systolic blood pressure > 10 mm Hg during inspiration
- Decrease of intrathoracic pressure during inspiration �?expansion of vena cava and right atrium �?�?venous return �?�?RV filling
- �?Pericardial compliance (e.g., due pericardial rigidity in constrictive pericarditis) �?�?bowing of the ventricular septum into the left ventricle �?�?LV ejection volume �?�?systolic blood pressure
Causes
- Constrictive pericarditis
- Cardiac tamponade
- Severe obstructive airway disease (asthma, COPD)
- Obstructive sleep apnea
- Croup