“Spike and dome” pulse
“Spike and dome” pulse seen in
[A] MVP
[B] Mitral Regurgitation
[C] DCM
[D] HOCM
“Spike and dome” pulse
HOCM
The spike and dome pattern is due to the
- SPIKE – Rapid rise in aortic pressure during the early systole (due to the percussion wave)
- DOME – Mid-systolic drop followed by the secondary or tidal wave.
Rapid rise in aortic pressure during the early systole (due to the percussion wave) followed by a mid-systolic drop followed by the secondary or tidal wave.
Mid systolic drop in amplitude of the pulse wave is due to a decrease in forward flow related to mid systolic obstruction which is in turn caused by the systolic anterior motion of the anterior mitral leaflet.
Oral PCSK9 Inhibitors
1. Oral PCSK9 inhibitors primarily reduce LDL cholesterol by: A. Increasing hepatic LDL receptor recycling...
V2 Break Pattern
V2 break pattern The V2 break pattern (also called a precordial pattern break) in ventricular...
S1Q3T3 pattern MCQs
McGinn White sign Key Points on S1Q3T3 Pattern (McGinn–White Sign) 1. S1Q3T3 pattern is classically...
S1Q3T3 pattern
S1Q3T3 Pattern (McGinn–White Sign): A Comprehensive Guide S1Q3T3 Pattern (McGinn–White Sign): Summary Table Feature Description...
McConnell’s Sign Echocardiography Guide
McConnell’s Sign Echocardiography Guide McConnell’s Sign is a distinctive echocardiographic finding characterized by akinesia or...
Pulmonary Embolism (PE): 30 High-Yield Clinical, ECG, and Echocardiography Points
Pulmonary Embolism Clinical ECG and Echocardiography Pulmonary Embolism (PE): 30 High-Yield Clinical, ECG, and Echocardiography...
Clinical Question – 13
30-year-old woman presents to emergency department with left-sided chest pain, catching her on deep inspiration,...
Thyroid hormone can cause which one of the following effects?
Thyroid hormone can cause which one of the following effects? A- HypoglycemiaB- Lowers blood cholesterolC-...
Tracheomalacia
Tracheomalacia Tracheomalacia is a condition characterized by excessive collapsibility of the tracheal walls due to...
Lhermitte’s Sign
Lhermitte’s Sign DefinitionLhermitte’s sign is a transient electric-shock–like sensation that travels down the spine and...
