316
3154147819011156112
high-tension851596012870110179249296335397467521561631700
pulse).1587596012874145183238300347382
If200459601285298
the2137596012845114177
arterial2349596012868115153215262300363401
pressure2785596012875122184238293362410472
is3291596012845100
small,3425596012860170230269309344
the3804596012843114177
artery4015596012868114152215262332
is4380596012845100
easy4515596012868130184255
to4804596012844115
compress,4953596012868137247315362424479534569
and851839012862133202
the1089839012839108171
pulse1295839012870139178233296
is162683901283792
soft1754839012853124170209
(pulsus1998839012847116187225279350404
mollis).24378390128109177216256295349397432
Pulse12051080012878148188242305
size.15451080012868107170232267
The184710800128101169232
pulse21141080012884154193247310
size24581080012870108171234
implies27271080012853162230270309372425
its3188108001285392146
filling33701080012862100139178216286356
and37611080012877146217
tension.40131080012854117186240279349419455
It45011080012862101
depends46371080012885147216279348419473
on51451080012884155
the53341080012855124187
expansion8511321012862133202265335389428498568
of14541321012875122
the16111321012844113176
artery18221321012868115153216261331
during21871321012876146193232302373
systole25941321012860131184223293332394
and30231321012868137211
on32691321012875145
its3450132101284483137
collapse36221321012868137177215278347402464
during41211321012875145192230300369
diastole.45261321012875114177230269339378441476
These50421321012886154217272333
in54111321012843113
turn8511563012839110157226
depend11121563012886149218280349419
on15671563012885156
the17581563012853124186
pulse19801563012884153193247310
volume,23251563012885155194264374433469
fluctuation28291563012861100171234273342405443482552622
of34861563012886133
the36541563012854124187
arterial38761563012877124162225271309372411
pressure43231563012884131192247302371419481
during48391563012884155202240310380
both52551563012885155193264
systole8511805012855125178217288327389
and12751805012863132202
diastole,15111805012870110172226265335374437472
and20181805012860131200
distensibility22541805012870108163202264333389427497536575614652723
of30101805012871117
the31621805012839109172
arterial33691805012862109147210256294357396
wall.380118050128101162200240275
Pulse12052046012878148188242305
wave154520460128102164234297
increases18762046012841110173220281343398460515
with242620460128101140179249
increasing27102046012840111173219281344397437506576
stroke3322204601285594141211280342
volume,36992046012872142180251361421456
great41902046012872119181243282
fluctuations4507204601284987156219258328391430468542612666
in52092046012840109
the53542046012840110172
arterial8512288012862109148211258296358396
pressure,12832288012885132195248303373420482518
and18362288012877146217
also20872288012878117172241
with236422880128116155194264
decreasing26642288012885148210257318380435474543614
tone33122288012855125196258
of36052288012885132
the37722288012855124187
arterial39942288012878124163225272311373412
wall.445522880128102163202242277
This476722880128101171210264
pulse50672288012885155194248311
is54132288012853107
called8512529012862125164202265335
high12212529012884122192263
pulse15192529012883153192246309
(pulsus18632529012861130200238293363418
altus)23152529012876116154224279326
or26752529012884131
pulsus28402529012884154193247317372
magnus.326025290128109171241312382436472
Large-volume37672529012899161208277340390460530569638747808
or46102529012885132
high47772529012884123192263
pulse50752529012883153192246309
is54192529012852106
characteristic8512771012862133195242305366405468513552606646684747
of16332771012875122
aortic17902771012868138184223262324
valve21492771012876138177247310
incompetence24942771012843114176246356423486525588657720782
in33102771012845115
thyrotoxicosis,34612771012845114185230300340409479518581650704744798833
when433427710128102171234303
the46732771012844114177
pulse48852771012876145184239302
wave522727710128102169238300
increases8513012012839110172218280343396459514
due13993012012871141204
to16383012012839109
the17823012012839109172
high19893012012870108179249
difference22733012012870109157202265312374443506568
between28763012012870133171273335397466
systolic33773012012856126179219288328366429
and38413012012862133202
diastolic40793012012870109172225264334373412474
arterial45883012012863110149212258297359397
pressure.50213012012870117179233288358405467501
Such8513254012878148211280
a11673254012863
pulse12653254012871140180234297
may159832540128109169240
develop18723254012870133203266305376445
in23533254012839109
fever24983254012847110179242288
in28223254012839109
connection29673254012863132201272334395434474543613
with361632540128101140179249
decreased39003254012871133195242305366421483553
tone44883254012839109179242
of47653254012870117
the49173254012840110173
arterial51253254012863110148210257295358396
wall.85134950128101163202242277
Pulse12053737012878148188242305
wave154437370128144205276339
decreases191737370128111174236283345407461523578
with253137370128144181220290
decreasing285737370128111174236283344407461500570640
stroke35323737012896135183252321384
volume395137370128112182221291400460
and444637370128106176247
amplitude472737370128104214282322361400469540603
of536437370128111158
pressure8513979012870117180233288358405468
fluctuations13543979012866103174237275344407446485554625679
during20683979012889159206244315384
systole24883979012873144197236306345408
and29313979012881150221
diastole31883979012887127190243282352391453
and36763979012882151221
with393339790128120159197268
increasing42363979012858128190236298361415454525594
tone48663979012858127197260
of51613979012889136
the53323979012858127189
arterial8514220012862109148211258296358396
wall.129242200128101163202242277
The16044220012895165226
pulse18654220012880149189243306
becomes22064220012879142203273383443498
small27404220012863173233272311
pulse30874220012879150188242305
(pulsus34274220012856126196235290359414
parvus).38774220012878141187257327381428464
Pulse43764220012887155195249312
is47234220012848102
small48614220012863173233272312
when521742200128102171234303
the8514461012839110172
amount10574461012868178245316387425
of15184461012874121
blood16734461012876115184255325
discharged20334461012875114168231300363409479541610
into26794461012843114152222
the29374461012843114176
arterial31474461012868115153216262300363402
system35844461012860130183223285395
is40114461012845100
small,41464461012860170229268308342
and45244461012867137207
the47664461012844113176
rate49774461012853114153216
of52274461012876122
its5384446101284382136
discharge8514702012870110164226296358405474537
is14234702012859113
low.15724702012860130232267
This187447020128106175213268
is21774702012860114
observed23274702012890159214277323393456525
in28864702012861130
stenosis30524702012874113176245315369408463
of35494702012892139
the37224702012860130193
aortic39494702012883152199238277340
orifice43234702012891137176223262324387
or47454702012890137
of49164702012892139
the50894702012859129192
left53154702012860122169207
venous8514945012870133202273342397
orifice,12834945012884130169216254317379414
and17314945012876147216
also19834945012875113168237
in22564945012852122
tachycardia24134945012853115177247318378441488558596659
and31074945012875146215
acute33584945012876138207246309
cardiac37024945012876137184254293356418
failure.41544945012861123161200270317378413
The460249450128100170232
pulse48704945012883152192246308
wave522849450128101163232294
may85151860128109170242
be11265186012882144
quite13055186012882153192231294
insignificant16345186012850120174214283354392439477540602672711
(barely23815186012858127190236299337407
perceptible)28225186012881144191253316386425464534573636681
in35395186012850120
shock,36945186012867137207270339374
acute41035186012874136205245307
cardiac44465186012872135181252290353415
failure48965186012859121159198268315378
and53095186012873142211
massive85154270128109170225280320389452
loss13385427012838108162217
of15895427012871118
blood.17405427012871110180252321356
This21315427012885155194249
pulse24145427012871141180234297
is2746542701283992
called28745427012862125162202265334
thready32435427012838107154217279348419
pulse36955427012870141180234297
(pulsus40275427012847116186225279350404
filiformis).4466542701284584124162209279326435472527574609
In12055669012847117
rare13585669012857118165227
cases16205669012873134189252305
(in1961566901285695164
rhythmic21615669012857126197234305414451514
pulse),27105669012880151189243306353388
high31335669012879119188258
and34275669012872141211
low36745669012848118220
pulse39295669012879149188242305
waves427956690128102163233295349
are46635669012873119180
alternating.48785669012873112150213260329392429469539608644
This8515911012886155195249
is11355911012852107
alternating12775911012876115154216263332395433472542612
pulse19245911012883154192247310
(pulsus22685911012861130200239294363417
alternans).27215911012876114153215262331394464518565599
It33555911012861100
is34905911012852106
believed36325911012883145183223286355417487
that41545911012852121184223
this44125911012853122162216
pulse46635911012883153192247309
is50075911012852106
due51495911012883153215
to53985911012852122
alternation8516152012862101141203249320381420459530599
of148661520128100146
heart166761520128100162225272310
contractions20126152012891161231270317380441480518588659714
that27626152012868138201240
vary30376152012899162208278
in33496152012869139
force.35246152012876146194256318354
It39136152012876114
usually406261520128100155225288325364434
occurs453061520128100163225295343396
in49626152012868138
severe51356152012885147216279326388
myocardial85163930128109178247309372418489528591630
affection.15166393012863110155217280318357427497533
The12056635012886155218
pulse145866350128107177215270333
shape18256635012892161224293356
can22166635012899161230
be248266350128107169
recorded26866635012883146208277324393456525
using324766350128106161199270339
a36216635012899
sphygmogram.37556635012891161232302371480548619666728838870
Sphygmogram466066350128115186257327396505573644691753863
analysis8516877012862133195233304357396451
includes13386877012837108171209278349411465
anacrotic,18396877012862131194255302372411450513548
catacrotic,24226877012862124162225286333403441481543578
incisure30356877012838108171210264334382443
and35136877012862133202
dicrotic37506877012871109172218287326365428
rise4213687701284788142205
(Fig.44536877012845124163232268
11).47556877012870141188223