Each heavy vertical line represents two-tenths second. Note the double systolic sound associated with the double summit of the pulsus bisferiens in this case of severe aortic stenosis. The purpose of ...

Pulsus bisferiens occurs in patients with significant aortic valve regurgitation. A double pulse is felt due to the backflow of blood in early diastole. The first carotid pulse felt is normal systole, ...

Changes in a murmur with respiration (inhalation) can help distinguish a right-sided murmur from its corresponding left-sided murmur. All right-sided murmurs increase with inspiration (Carvallo sign).

IN patients with advanced aortic regurgitation Korotkoff sounds may be heard over the brachial artery when the sphygmomanometer cuff has been completely deflated. Diastolic pressures obtained by ...