Blood Pressure
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Mayne's Sign
In severe aortic valve regurgitation, Mayne’s sign is a decrease in the diastolic blood pressure of 15 mm Hg or greater in the arm when it is held above the head.
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Hypotension
Hypotension is an abnormally low blood pressure. This can occur for many reasons; however, the most common causes include shock and medication side effects.
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Hill's Sign
In severe aortic valve regurgitation, Hill’s sign refers to a popliteal systolic blood pressure exceeding brachial systolic blood pressure by 60 mm Hg or greater.
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Cardiogenic Shock
Cardiogenic shock occurs when the heart is not able to pump enough blood to generate adequate cardiac output to maintain normal blood pressure.
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Cardiology Physical Examination Pearls
An S4 heart sound cannot be present during atrial fibrillation (atrial kick is required).
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Physical Examination - STEMI
The physical examination findings during STEMI are similar to those of stable angina, unstable angina and non-STEMI, although frequently more dramatic due to the larger proportion of ischemic myocardium.
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Epinephrine
Epinephrine (adrenaline) is a hormone that is mediated predominantly through the sympathetic nervous system and acts by stimulating alpha and beta receptors.