Irregularly Irregular Pulse

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Heart rate is about 100-150/min. Irregularly irregular pulse with a pulse deficit10. Varying first heart sound intensity. Opening snap is not heard sometimes. Absent a waves in the neck veins. Presystolic accentuation of diastolic murmur disappears. Embolic manifestations may appear. citation needed Associated lesions. Irregularly irregular pulse The erratic, unpredictable pulse present in atrial fibrillation.


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Related to irregular pulse: irregularly irregular pulse

ir·reg·u·lar pulse

variation in rate of impulses in an artery due to cardiac arrhythmia.

ir·reg·u·lar pulse

(ir-reg'yū-lăr pŭls)
An imprecise, but common, term involving variation in rate of impulses in an artery due to cardiac arrhythmia.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012

pulse

(puls) [L. pulsus, beating]
1. Rate, rhythm, condition of arterial walls, compressibility and tension, and size and shape of the fluid wave of blood traveling through the arteries as a result of each heartbeat.
3. Throbbing caused by the regular contraction and alternate expansion of an artery as the wave of blood passes through the vessel; the periodic thrust felt over arteries in time with the heartbeat. See: illustration

A tracing of this is called a sphygmogram and consists of a series of waves in which the upstroke is called the anacrotic limb, and the downstroke (on which is normally seen the dicrotic notch), the catacrotic limb.

The normal resting pulse in adults is between 60 and 100 beats per minute. The resting pulse is faster, for example, in febrile patients, anemic or hypovolemic persons, persons in shock, and patients who have taken drugs that stimulate the heart, such as theophylline, caffeine, nicotine, or cocaine. It may be slower in well-trained athletes; in patients using beta blockers, calcium channel blockers, or other agents; and during sleep or deep relaxation.

Patient care

In patients complaining of chest pain, pulses should be assessed in at least two extremities (e.g., both radial arteries). A strong pulse on the right side with a weak one on the left may suggest an aortic dissection or a stenosis of the left subclavian artery. Young patients with high blood pressure should have pulses assessed simultaneously at the radial and femoral artery because a significant delay in the femoral pulse may suggest coarctation of the aorta. Patients with recent symptoms of stroke or claudication should have pulses checked at the carotid, radial, femoral, popliteal, and posterior tibial arteries, to see whether any palpable evidence of arterial insufficiency exists at any of these locations. If a decreased pulse is detected, further evaluation might include ultrasonography or assessments of the ankle brachial index. Patients who are lightheaded or dizzy or who notice palpitations may have detectable premature beats or other pulse irregularities (e.g., the irregularly irregular pulse of atrial fibrillation).

abdominal pulse

A palpable pulse felt between the xiphoid process and the navel. This is produced by the pulse of the abdominal aorta.

alternating pulse

A pulse with alternating weak and strong pulsations.
Synonym: pulsus alternans

anacrotic pulse

A pulse showing a secondary wave on the ascending limb of the main wave.

anadicrotic pulse

A pulse wave with two small notches on the ascending portion.

apical pulse

A pulse felt or heard over the part of the chest wall that lies over the apex of the heart. In healthy people this is roughly located at the left mid-clavicular line in the fourth intercostal space.
See: Pulse: Apical

asymmetrical radial pulse

Unequal pulse.

basal pulse

Resting pulse.

bigeminal pulse

A pulse in which two regular beats are followed by a longer pause.
Synonym: coupled pulse

bisferiens pulse

A pulse marked by two systolic peaks on the pulse waveform. It is characteristic of aortic regurgitation (with or without aortic stenosis) and hypertrophic cardiomyopathy.

bounding pulse

A pulse that reaches a higher intensity than normal, then disappears quickly. Best detected when the arm is held aloft.
Synonym: collapsing pulse

brachial pulse

See: Pulse: Brachial

capillary pulse

Visible inflow and outflow of blood from the nailbed. It is a finding in patients with aortic regurgitation when their fingernails or toenails are gently depressed by the examiner's finger. Synonym: Quincke's pulse

carotid pulse

See: Pulse: Carotid

catacrotic pulse

A pulse showing one or more secondary waves on the descending limb of the main wave.

catadicrotic pulse

A pulse wave with two small notches on the descending portion.

central pulse

A pulse recorded near the origin of the carotid or subclavian arteries.

collapsing pulse

Bounding pulse.

Corrigan's pulse

See: waterhammer pulse

coupled pulse

Bigeminal pulse.

dicrotic pulse

A pulse with a double beat, one heartbeat for two arterial pulsations, or a seemingly weak wave between the usual heartbeats. This weak wave should not be counted as a regular beat. It is indicative of low arterial tension and is noted in fevers.

dorsalis pedis pulse

A pulse felt over the dorsalis pedis artery of the foot.
See: Pulse: Dorsalis Pedis

entoptic pulse

Intermittent subjective sensations of light that accompany the heartbeat.

femoral pulse

See: Pulse: Femoral

filiform pulse

Thready pulse.

hepatic pulse

A pulse due to expansion of veins of the liver at each ventricular contraction.

intermediate pulse

A pulse recorded in the proximal portions of the carotid, femoral, and brachial arteries.

intermittent pulse

A pulse in which occasional beats are skipped, caused by conditions such as premature atrial contractions, premature ventricular contractions, and atrial fibrillation. Synonym: irregular pulse

irregular pulse

Intermittent pulse.

irregularly irregular pulse

The erratic, unpredictable pulse present in atrial fibrillation.

jugular pulse

Kussmaul's pulse

See: Kussmaul, Adolph

monocrotic pulse

A pulse in which the sphygmogram shows a simple ascending and descending uninterrupted line and no dicrotism.

nail pulse

A visible pulsation in the capillaries under the nails.

paradoxical pulse

A decrease in the strength of the pulse (and of systolic blood pressure) during inspiration, a condition that may be esp. prominent in severe asthma, cardiac tamponade, obstructive sleep apnea, croup, and other conditions that alter pressure relationships within the chest.
Synonym: Kussmaul's pulse; pulsus paradoxus

pulse parvus

Pulsus parvus et tardus.

peripheral pulse

A pulse recorded in the arteries (radial or pedal) in the distal portion of the limbs.

pistol-shot pulse

A pulse resulting from rapid distention and collapse of an artery as occurs in aortic regurgitation.

plateau pulse

A pulse associated with an increase in pressure that slowly rises but is maintained.

popliteal pulse

See: Pulse: Popliteal

Quincke's pulse

See: capillary pulse

radial pulse

A pulse felt over the radial artery.
See: Pulse: Radial

rapid pulse

Tachycardia.

regular pulse

A pulse felt when the force and frequency are the same (i.e., when the length of beat and number of beats per minute and the strength are the same).

respiratory pulse

Alternate dilatation and contraction of the large veins of the neck occurring simultaneously with inspiration and expiration.

resting pulse

A pulse rate obtained while an individual is at rest and calm.
Synonym: basal pulse

retrosternal pulse

Riegel's pulse

See: Riegel's pulse

running pulse

A weak, rapid pulse with one wave continuing into the next.

short pulse

slow pulse

A pulse rate that is less than 60 beats per minute.

small pulse

See: pulsus parvus et tardus

soft pulse

A pulse that may be stopped by moderate digital compression.

tense pulse

thready pulse

A fine, scarcely perceptible pulse. Synonym: filiform pulse

tremulous pulse

A pulse in which a series of oscillations is felt with each beat.

tricrotic pulse

A pulse with three separate expansions during each heartbeat.

trigeminal pulse

A pulse with a longer or shorter interval after each three beats because the third beat is an extrasystole.

triphammer pulse

Waterhammer pulse.

undulating pulse

A pulse that seems to have several successive waves.

unequal pulse

Irregularly Irregular Pulse
A pulse in which beats vary in force. Synonym: asymmetrical radial pulse

vagus pulse

A slow pulse resulting from parasympathetic influence on heart rate, mediated by the vagus nerve.

venous pulse

A pulse in a vein, esp. one of the large veins near the heart, such as the internal or external jugular. Normally it is undulating and scarcely palpable. In conditions such as tricuspid regurgitation, it is pronounced.

vermicular pulse

waterhammer pulse

A pulse with a powerful upstroke and then sudden disappearance; a hallmark of aortic regurgitation.
Synonym: triphammer pulse; Corrigan's pulse

wiry pulse

A tense pulse that feels like a wire or firm cord.

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Irregularly Irregular Pulse Differential Diagnosis

Related to irregularly irregular pulse: sinus arrhythmia

pulse 1

(pŭls)n.
1. The rhythmical throbbing of arteries produced by the regular contractions of the heart, especially as palpated at the wrist or in the neck.
2.
b. A single beat or throb.
3. Physics
a. A brief sudden change in a normally constant quantity: a pulse of current; a pulse of radiation.
b. Any of a series of intermittent occurrences characterized by a brief sudden change in a quantity.
4. The perceptible emotions or sentiments of a group of people: 'a man who had ... his finger on the pulse of America'(Thomas P. O'Neill, Jr.).
v.intr.
1. To pulsate; beat: 'The nation pulsed with music and proclamation, with rages and moral pretensions'(Lance Morrow).
2. Physics To undergo a series of intermittent occurrences characterized by brief, sudden changes in a quantity.
v.tr.
To chop in short bursts, as in a food processor: The cook pulsed the leeks and added some coriander.
Idiom: take the pulse of
To judge the mood or views of (a political electorate, for example): The politician was able to take the pulse of the grass-roots voters.
[Middle English pous, puls, from Old French pous, pulz, from Latin pulsus, from past participle of pellere, to beat; see pel- in Indo-European roots.]

pulse 2

(pŭls)n.
1. The edible seeds of certain pod-bearing plants, such as lentils and chickpeas.
[Middle English pols, puls, from Latin puls, pottage of meal and pulse, probably ultimately from Greek poltos.]
American Heritage® Dictionary of the English Language, Fifth Edition. Copyright © 2016 by Houghton Mifflin Harcourt Publishing Company. Published by Houghton Mifflin Harcourt Publishing Company. All rights reserved.

pulse

(pʌls) n1. (Physiology) physiol
a. the rhythmic contraction and expansion of an artery at each beat of the heart, often discernible to the touch at points such as the wrists
2. (Electronics) physicselectronics
a. a transient sharp change in voltage, current, or some other quantity normally constant in a system
b. one of a series of such transient disturbances, usually recurring at regular intervals and having a characteristic geometric shape
c. (as modifier): a pulse generator. Less common name: impulse
3. Irregularly (General Physics) physicselectronics
a. a transient sharp change in voltage, current, or some other quantity normally constant in a system
b. one of a series of such transient disturbances, usually recurring at regular intervals and having a characteristic geometric shape
Causes of irregularly irregular pulse
c. (as modifier): a pulse generator. Less common name: impulse
4.
a. a recurrent rhythmic series of beats, waves, vibrations, etc
5. bustle, vitality, or excitement: the pulse of a city.
6. (Sociology) the feelings or thoughts of a group or society as they can be measured: the pulse of the voters.
7. keep one's finger on the pulse to be well-informed about current events
vb
9. (tr) to provide an electronic pulse to operate (a slide projector)
[C14 pous, from Latin pulsus a beating, from pellere to beat]

pulse

(pʌls) n
1. (Cookery) the edible seeds of any of several leguminous plants, such as peas, beans, and lentils
2. (Plants) the plant producing any of these seeds
[C13 pols, from Old French, from Latin puls pottage of pulse]
Collins English Dictionary – Complete and Unabridged, 12th Edition 2014 © HarperCollins Publishers 1991, 1994, 1998, 2000, 2003, 2006, 2007, 2009, 2011, 2014

pulse1

(pʌls)
n., v. pulsed, puls•ing.n.
1. the regular throbbing of the arteries, caused by the successive contractions of the heart, esp. as may be felt at an artery, as at the wrist.
2. a single pulsation of the arteries or heart.
3. a stroke, vibration, or undulation, or a rhythmic series of these.
4. the prevailing attitudes or sentiments, as of the public.
5. a momentary, sudden fluctuation in an electrical quantity, as in voltage or current.
6. a single, abrupt emission of particles or radiation.
v.i.
8. to vibrate or undulate.
9. to emit particles or radiation periodically in short bursts.
v.t.
[1375–1425; Middle English puls < Latin pulsus beating, striking, pulse, derivative (with -tus suffix of v. action) of pellere to beat, strike]

pulse2

(pʌls)
n.
1. the edible seeds of certain leguminous plants, as peas or beans.
[1250–1300; Middle English puls (< Old French pouls) < Latin: porridge of spelt or another grain. compare poultice]
Random House Kernerman Webster's College Dictionary, © 2010 K Dictionaries Ltd. Copyright 2005, 1997, 1991 by Random House, Inc. All rights reserved.

pulse

(pŭls)
The rhythmical expansion and contraction of the arteries as blood is pumped through them by the beating of the heart.
The American Heritage® Student Science Dictionary, Second Edition. Copyright © 2014 by Houghton Mifflin Harcourt Publishing Company. Published by Houghton Mifflin Harcourt Publishing Company. All rights reserved.

pulse

  • light year - Not a length of time but a distance, the distance a pulse of light travels in one year (about 5.88 trillion miles).
  • pea - Comes from Greek pison, 'pulse, pease.'
  • asphyxia - Its original meaning was stoppage of the pulse.
  • ictus - The beat of the pulse, based on the Latin word for 'stroke.'
Farlex Trivia Dictionary. © 2012 Farlex, Inc. All rights reserved.

pulse


Past participle: pulsed
Gerund: pulsing
Imperative
pulse
pulse
Present
I pulse
you pulse
he/she/it pulses
we pulse
you pulse
they pulse
Preterite
I pulsed
you pulsed
he/she/it pulsed
we pulsed
you pulsed
they pulsed
Present Continuous
I am pulsing
you are pulsing
he/she/it is pulsing
we are pulsing
you are pulsing
they are pulsing
Present Perfect
I have pulsed
you have pulsed
he/she/it has pulsed
we have pulsed
you have pulsed
they have pulsed
Past Continuous
I was pulsing
you were pulsing
he/she/it was pulsing
we were pulsing
you were pulsing
they were pulsing
Past Perfect
I had pulsed
you had pulsed
he/she/it had pulsed
we had pulsed
you had pulsed
they had pulsed
Future
I will pulse
you will pulse
he/she/it will pulse
we will pulse
you will pulse
they will pulse
Future Perfect
I will have pulsed
you will have pulsed
he/she/it will have pulsed
we will have pulsed
you will have pulsed
they will have pulsed
Future Continuous
I will be pulsing
you will be pulsing
he/she/it will be pulsing
we will be pulsing
you will be pulsing
they will be pulsing
Present Perfect Continuous
I have been pulsing
you have been pulsing
he/she/it has been pulsing
we have been pulsing
you have been pulsing
they have been pulsing
Future Perfect Continuous
I will have been pulsing
you will have been pulsing
he/she/it will have been pulsing
we will have been pulsing
you will have been pulsing
they will have been pulsing
Past Perfect Continuous
I had been pulsing
you had been pulsing
he/she/it had been pulsing
we had been pulsing
you had been pulsing
they had been pulsing
Conditional
I would pulse
you would pulse
he/she/it would pulse
we would pulse
you would pulse
they would pulse
Past Conditional
I would have pulsed
you would have pulsed
he/she/it would have pulsed
we would have pulsed
you would have pulsed
they would have pulsed
Collins English Verb Tables © HarperCollins Publishers 2011

pulse

The regular throbbing of an artery, which can be felt as it expands each time the heart pumps blood through it.
Dictionary of Unfamiliar Words by Diagram Group Copyright © 2008 by Diagram Visual Information Limited
Noun1.pulse - (electronics) a sharp transient wave in the normal electrical state (or a series of such transients); 'the pulsations seemed to be coming from a star'
pulsation, pulsing, impulse
electronics - the branch of physics that deals with the emission and effects of electrons and with the use of electronic devices
undulation, wave - (physics) a movement up and down or back and forth
2.pulse - the rhythmic contraction and expansion of the arteries with each beat of the heart; 'he could feel the beat of her heart'
periodic event, recurrent event - an event that recurs at intervals
diastole - the widening of the chambers of the heart between two contractions when the chambers fill with blood
systole - the contraction of the chambers of the heart (especially the ventricles) to drive blood into the aorta and pulmonary artery
throbbing, pounding, throb - an instance of rapid strong pulsation (of the heart); 'he felt a throbbing in his head'
3.pulse - the rate at which the heart beats; usually measured to obtain a quick evaluation of a person's health
vital sign - sign of life; usually an indicator of a person's general physical condition; 'he was still alive but his vital signs were weak'
femoral pulse - pulse of the femoral artery (felt in the groin)
radial pulse - pulse of the radial artery (felt in the wrist)
rate - a magnitude or frequency relative to a time unit; 'they traveled at a rate of 55 miles per hour'; 'the rate of change was faster than expected'
4.pulse - edible seeds of various pod-bearing plants (peas or beans or lentils etc.)
legume - the seedpod of a leguminous plant (such as peas or beans or lentils)
Verb1.pulse - expand and contract rhythmically; beat rhythmically; 'The baby's heart was pulsating again after the surgeon massaged it'
pulsate, quiver, beat - move with or as if with a regular alternating motion; 'the city pulsated with music and excitement'
thump, beat, pound - move rhythmically; 'Her heart was beating fast'
2.pulse - produce or modulate (as electromagnetic waves) in the form of short bursts or pulses or cause an apparatus to produce pulses; 'pulse waves'; 'a transmitter pulsed by an electronic tube'
produce, create, make - create or manufacture a man-made product; 'We produce more cars than we can sell'; 'The company has been making toys for two centuries'
3.pulse - drive by or as if by pulsation; 'A soft breeze pulsed the air'
move, displace - cause to move or shift into a new position or place, both in a concrete and in an abstract sense; 'Move those boxes into the corner, please'; 'I'm moving my money to another bank'; 'The director moved more responsibilities onto his new assistant'
Based on WordNet 3.0, Farlex clipart collection. © 2003-2012 Princeton University, Farlex Inc.

pulse

noun
1.beat, rhythm, vibration, beating, stroke, throb, throbbing, oscillation, pulsationthe repetitive pulse of the music
verb
1.beat, tick, throb, vibrate, pulsateHer feet pulsed with pain.
Collins Thesaurus of the English Language – Complete and Unabridged 2nd Edition. 2002 © HarperCollins Publishers 1995, 2002

pulse

noun
A periodic contraction or sound of something coursing:
verb
To make rhythmic contractions, sounds, or movements:
The American Heritage® Roget's Thesaurus. Copyright © 2013, 2014 by Houghton Mifflin Harcourt Publishing Company. Published by Houghton Mifflin Harcourt Publishing Company. All rights reserved.
pulsteptepat
pulzus
맥박
pulsētpulss
pulz
puls

pulse

1[pʌls]
A.N (Anat) → pulsom (Phys) → pulsaciónf (fig) [of drums, music] → ritmom, compásm
to take sb's pulsetomar el pulso a algn
he keeps his finger on the company's pulseestá tomandoconstantemente el pulsoa lacompañía, se mantiene al tanto de lo quepasaen lacompañía
C.CPDpulse beatNlatidomdelpulso
pulse rateNfrecuenciafdelpulso

pulse

2[pʌls]N (Bot, Culin) → legumbref
Collins Spanish Dictionary - Complete and Unabridged 8th Edition 2005 © William Collins Sons & Co. Ltd. 1971, 1988 © HarperCollins Publishers 1992, 1993, 1996, 1997, 2000, 2003, 2005

pulse

[ˈpʌls]n
[person] → poulsm
to take sb's pulse, to feel sb's pulse → prendre le pouls de qn
The nurse felt his pulse → L'infirmière a pris son pouls.
to have one's finger on the pulse → prendre la température
to have one's finger on the pulse of sth → prendre le pouls de qch, prendre la température de qch
[current] → pulsationf; [sound] → pulsationf
pulse of current →
sound pulse →
(= edible seed) (pea, bean, lentil etc)légumemsec
Collins English/French Electronic Resource. © HarperCollins Publishers 2005

pulse

1
n (Anat) → Pulsm; (Phys) → Impulsm; (fig: of drums, music) → Rhythmusm; pulse beatPulsschlagm; to feel or take somebody’s pulsejdm den Pulsfühlen; he felt the pulse of life in his veinser spürte, wie das Leben in seinen Adernpulsierte; he still has or keeps his finger on the pulse of economic affairser hat in Wirtschaftsfragen immer noch den Finger am Puls der Zeit

pulse

2
n (Bot, Cook) → Hülsenfruchtf
Collins German Dictionary – Complete and Unabridged 7th Edition 2005. © William Collins Sons & Co. Ltd. 1980 © HarperCollins Publishers 1991, 1997, 1999, 2004, 2005, 2007

pulse

[pʌls]n (Anat) → polso (Phys) → impulso (fig) (

Regularly Irregular Vs Irregularly Irregular

of drums, music) → vibrazionef
to feel or take sb's pulse → sentireortastare il polso a qn
Collins Italian Dictionary 1st Edition © HarperCollins Publishers 1995

pulse

(pals) noun
the regular beating of the heart, which can be checked by feeling the pumping action of the artery in the wrist. The doctor felt/took her pulse. pols نَبْض пулc pulso puls der Puls puls σφυγμόςpulso pulss نبض syke poulsדופק नब्ज, नाड़ी pulzus denyut nadi púls polso 脈博 맥박 pulsas pulss denyutan nadi polsslagpulspuls, tętno د لاس بند، نبض pulso puls пульс pulz utrip puls puls ชีพจร nabız 脈博 пульс; биття دل کي دھڑکن، بنض nhịp đập; mạch 脉博
verb
to throb. pols يَنْبض، يَخْفق пулсирам pulsar tepat pulsieren dunke σφύζω, πάλλομαιlatir, palpitar tuikama تپیدن sykkiä battre לִפעוֹם स्पन्दन करना, धड़काना lüktet berdenyut slá, hamast pulsare, battere 脈打つ 맥박 치다 pulsuoti pulsēt berdebar pulseren, kloppenbanke, pulsere pulsować دربيدل،پريدل pulsar a bate биться pulzovať utripati pulsirati pulsera เต้นเป็นจังหวะ atmak, çarpmak (心臟)跳動 пульсувати, битися دھڑکنا đập (心脏)跳动
pulsate (palˈseit) , ((American) ˈpalseit) verb
to beat or throb. pols, klop يَنْبُض، يخْفِق пулсирам pulsar pulsovat pulsieren slå; dunke πάλλομαιlatir, palpitar tuksuma, pulseerima تپیدن؛ زدن sykkiä battre לְהַפעִים धड़कना, फड़कना lüktet berdenyut slá pulsare, battere 脈打つ 고동치다, 맥박 치다 pulsuoti pulsēt berdenyut pulserenslå, pulsere, dunke pulsować دربيدل، وهل pulsar a pulsa, a bate биться, пульсировать pulzovať utripati pulsirati pulsera เต้นเป็นจังหวะ atmak, çarpmak (心臟)跳動 пульсувати; вібрувати دھڑکنا، پھڑکنا đập (心脏)跳动
pulsation (palˈseiʃən) noun
polsing نَبْض، خَفَقان، نَبْضَه биене pulsação pulsování das Pulsieren pulseren σφυγμός, παλμόςpulsación tukse تپش sykintä pulsationפעימה स्पन्दन (ér)verés, lüktetés denyutan sláttur pulsazione, battito 脈博 고동, 맥박, 파동, (고의로 화를 내어) 남의 몸과 접촉하는 일 pulsavimas pulsācija denyutan pulsatie, klopping hjerteslag, pulsering pulsacja د زړه اورګونه pulsação pulsaţie пульсация pulzovanie utripanje pulsiranje pulserande การเต้นเป็นจังหวะ nabız atışı, vuruş 跳動 пульсація دھڑکن، ارتعاش nhịp tim đập 跳动
Kernerman English Multilingual Dictionary © 2006-2013 K Dictionaries Ltd.

pulse

نَبْضَة tep pulsPulsσφυγμόςpulso sykepouls pulsbattito cardiaco 脈拍 맥박polsslagpuls

Irregularly Irregular Pulse Causes

pulspulsoпульс puls ชีพจรnabız mạch脉搏
Multilingual Translator © HarperCollins Publishers 2009

pulse

n. pulso, dilatación arterial rítmica que gen. coincide con los latidos cardíacos;
bigeminal ______ bigeminado;
dorsalis pedis ______ de la arteria dorsal del pie;
filiform ______ filiforme;
irregular ______ irregular;
___ pressurepresión del pulso, diferencia entre la presión sistólica y la diastólica;
rapid ______ rápido;
water hammer ______ en martillo de agua. V. cuadro en la página 218.

pulse

n pulso; I’m going to take your pulse..Voy a tomarle el pulso..pulse of steroids..pulso de esteroides; carotid (radial, etc.) — pulso carotídeo (radial, etc.)
English-Spanish/Spanish-English Medical Dictionary Copyright © 2006 by The McGraw-Hill Companies, Inc. All rights reserved.

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