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Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

342
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
342
Pulmonary Hypertension: Classification and Pathogenesis01:30

Pulmonary Hypertension: Classification and Pathogenesis

180
Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
180
Pulse01:16

Pulse

517
When the heart pumps blood out, arterial elastic fibers play a crucial role in sustaining a high-pressure gradient. They expand to accommodate the received blood and then recoil - a process known as the pulse that can be either manually palpated or electronically quantified. Despite a reduction in its effect with increased distance from the heart, elements of the pulse's systolic and diastolic components persist, observable even at the arteriole level.
The pulse serves as a clinical...
517
Pulse Assessment Sites01:11

Pulse Assessment Sites

1.1K
Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
1.1K
Cardiovascular System Abnormal Findings I: Inspection and Palpation01:29

Cardiovascular System Abnormal Findings I: Inspection and Palpation

399
In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
399
Pulse amplitude and quality01:17

Pulse amplitude and quality

1.8K
Pulse amplitude is a crucial indicator of cardiac health because it provides valuable insights into the strength of left ventricular contractions and the overall uniformity of blood circulation within the vasculature. The strength of the pulse is directly related to the force with which the heart contracts and the volume of blood being pumped.
A weak or absent pulse may indicate reduced cardiac output or poor left ventricular contraction, which can be signs of cardiovascular dysfunction or...
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Related Experiment Video

Updated: Jul 4, 2025

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
14:52

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

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Undercover Peripheral Arterial Disease.

Catarina Costa1, Beatriz Riquito2, Sofia Perdigão2

  • 1Internal Medicine, Centro Hospitalar Universitário do Algarve, Faro, PRT.

Cureus
|February 5, 2024
PubMed
Summary

Polyvascular disease, affecting multiple arterial systems, is often underdiagnosed and carries a poor prognosis. Early, multidisciplinary intervention is crucial for preventing severe complications and improving patient outcomes.

Keywords:
atherosclerosiscardiovascular riskcerebrovascular diseasemultidisciplinary workperipheral arterial diseasepolyvascular diseasestroke

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Last Updated: Jul 4, 2025

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Area of Science:

  • Vascular Medicine
  • Cardiovascular Disease
  • Public Health

Background:

  • Peripheral arterial disease (PAD) is a common yet underdiagnosed condition impacting quality of life.
  • Polyvascular disease, involving multiple arterial territories, presents a worse prognosis than isolated PAD, coronary artery disease, or cerebrovascular disease.
  • Cardiovascular risk factors often manifest as multisystemic atherosclerosis, necessitating comprehensive management.

Observation:

  • A case study of a 62-year-old post-menopausal smoker with a mild stroke revealed severe disseminated arterial disease.
  • The patient presented with polyvascular disease, highlighting the interconnectedness of cardiovascular and cerebrovascular conditions.
  • Despite initial stroke symptoms, prompt multidisciplinary intervention successfully prevented critical limb ischemia.

Findings:

  • Polyvascular disease remains significantly underdiagnosed, contributing to its poor prognosis.
  • Atherosclerosis should be recognized as a systemic process affecting multiple vascular beds.
  • Timely and integrated interventions are key to managing multisystemic cardiovascular risk.

Implications:

  • Emphasizes the need for a high index of suspicion for polyvascular disease in patients with cardiovascular risk factors.
  • Highlights the critical role of multidisciplinary teams in diagnosing and managing complex atherosclerotic disease.
  • Underscores the importance of early, comprehensive treatment strategies to reduce morbidity and mortality associated with polyvascular disease.