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Usage Information

Mechanism of Pulsus Paradoxus in Clinical Shock
Jay N. Cohn, … , Alan L. Pinkerson, Felix E. Tristani
Jay N. Cohn, … , Alan L. Pinkerson, Felix E. Tristani
Published November 1, 1967
Citation Information: J Clin Invest. 1967;46(11):1744-1755. https://doi.org/10.1172/JCI105665.
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Research Article

Mechanism of Pulsus Paradoxus in Clinical Shock

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Abstract

An inspiratory fall in systolic arterial pressure of more than 10 mm Hg (pulsus paradoxus) was noted in 30 of 61 patients with shock. Inspiratory right atrial pressures and total blood volumes were significantly lower in patients with pulsus paradoxus. Rapid infusion of dextran in 22 patients usually was effective in reversing the exaggerated inspiratory fall in systolic pressure. Total peripheral vascular resistance tended to be higher in the patients with pulsus paradoxus and administration of vasoconsrictor drugs often accentuated the respirator pressure variation.

Authors

Jay N. Cohn, Alan L. Pinkerson, Felix E. Tristani

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Usage data is cumulative from May 2024 through May 2025.

Usage JCI PMC
Text version 167 46
PDF 57 20
Scanned page 519 4
Citation downloads 56 0
Totals 799 70
Total Views 869
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