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9 out of 10

Water hammer pulse is seen in (NEET 2013)

A Aortic stenosis

B Aortic regurgitation

C Aortic stenosis and Aortic regurgitation

D Mitral stenosis

Ans. B

Aortic regurgitation B . Constrictive pericarditis, E . Severe asthma

Types of Pulse

1. Pulsus parvus et tardus (low amplitude with slow rise Q) Severe valvular AS

2. Bisferiens pulse (Two systolic peaks)

a. AR Q,

b. AR with AS Q,


3. Dicrotic pulse (Two waves – one is systole and one is diastole) Dilated cardiomyopathy Q.

4. Pulses alternans (Regular alteration of amplitude with regular rhythm) Severe LVF. Q

5. Pulses bigeminus (Premature beats following each regular beat) - Digoxin therapy

6. Pulsus paradoxus (decrease in systolic arterial pressure during inspiration)

a. Pericardial tamponade.Q

b. Severe COPD

c. Bronchial Asthma.Q

d. Sup. vena cava obstruction.

e. Constrictive pericarditis (rare)

f. Pulmonary embolism

g. Hypovolemic shock (Hari- 18th Pg-1824)

7. Water hammer pulse / collapsing pulse /Corrigan’s pulse

a. AR

b. PDA

c. A-V fistula

d. Beri – Beri

e. Hyperthyroidism

f. Pregnancy

8. Irregularly irregular – Atrial fibrillation (MCQ)