Cardiology>>>>>Heart Failure
Question 67#

Figure below is a schematic illustration of carotid pulse.

Match the diagnosis with the pulse.

A. Normal
B. Aortic stenosis
C. Aortic regurgitation
D. Hypertrophic cardiomyopathy
E. Severe CHF decompensation

Correct Answer is E

Comment:

Severe CHF decompensation. Demonstrates the dicrotic pulse which can occur in diastole in patients with low stroke volume being ejected. This can occur in severe heart failure, cardiac tamponade, and hypovolemic shock.