Article Text

Download PDFPDF
Radial artery pulse to ponder on
  1. Ramanathan Velayutham,
  2. A Shaheer Ahmed
  1. Cardiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Puducherry, India
  1. Correspondence to Dr Ramanathan Velayutham, Cardiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Puducherry, India; nadalram{at}gmail.com

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Clinical introduction

A man in his 60s, hypertensive for the past 20 years, now presented with a history of angina and dyspnoea on exertion New York Heart Association class II for 6 months, which was persistent despite optimal medical therapy. He underwent a coronary angiography via radial route, and his arterial trace from the radial artery sheath is provided in figure 1.

Figure 1

Arterial waveform obtained from the radial sheath.

Question

What is the most likely explanation for this arterial tracing?

  1. Spike and dome …

View Full Text

Footnotes

  • Twitter @DrRamanathanV

  • Contributors RV wrote a draft of the manuscript. RV and SA were involved in patient diagnosis. SA was involved in case management and edited the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.