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11 Possible Causes for Bounding Pulse, Decreased Diastolic Blood Pressure, Tetralogy of Fallot

  • Patent Ductus Arteriosus

    The PDA in tetralogy of Fallot with pulmonary atresia (ToF-PA) arises, in the left aortic arch, from underneath the arch and connects to the proximal left pulmonary artery[ncbi.nlm.nih.gov] In that case, typically, precordial activity is increased and peripheral pulses are bounding.[emedicine.medscape.com] Animal studies have shown an increase in systolic and decrease in diastolic blood pressure as well as an increase in stroke volume and minute volume with increasing shunts[tidsskriftet.no]

  • Congenital Aortic Insufficiency

    It is often associated with other pathologies like: interatrial septum defect, tetralogy of Fallot, pulmonary valve stenosis or ventricular septal defect.[ncbi.nlm.nih.gov] This leads to a strong and forceful pulse (bounding pulse). Over time, the heart becomes less able to pump blood to the body.[wexnermedical.osu.edu] […] into the left ventricle (LV) Increased systolic blood pressure and decreased diastolic pressure Widened pulse pressure water hammer puls e (see “Diagnostics” below) Acute[amboss.com]

  • Aortic Valve Insufficiency

    It is accompanied by systolic hypertension and wide pulse pressure, which account for peripheral physical findings, such as bounding pulses.[ncbi.nlm.nih.gov] This regurgitant flow causes a decrease in the diastolic blood pressure in the aorta, and therefore an increase in the pulse pressure.[en.wikipedia.org] This leads to a strong and forceful pulse (bounding pulse). Over time, the heart becomes less able to pump blood to the body.[wexnermedical.osu.edu]

  • Acute Aortic Regurgitation

    […] of Fallot - Eisenmenger's syndrome Right: pulmonary and tricuspid valves pulmonary valves ( stenosis, insufficiency ) - tricuspid valves ( stenosis, atresia ) - Ebstein's[wikidoc.org] […] into the left ventricle (LV) Increased systolic blood pressure ; and decreased diastolic pressure Widened pulse pressure water hammer puls e (see “Diagnostics” below) Acute[amboss.com] The left lower chamber of the heart widens (dilates) and the heart beats very strongly ( bounding pulse ).[medlineplus.gov]

  • Arteriovenous Fistula

    It is often associated with other pathologies like: interatrial septum defect, tetralogy of Fallot, pulmonary valve stenosis or ventricular septal defect.[ncbi.nlm.nih.gov] The physical manifestations of this would be a relatively normal systolic blood pressure with a decreased diastolic blood pressure resulting in a wide pulse pressure.[en.wikipedia.org] CONCLUSIONS: The presence of AVF in renal transplant recipients was associated with a slight decrease in diastolic blood pressure without clear effect on renal function.[ncbi.nlm.nih.gov]

  • Aortopulmonary Septal Defect

    Aortopulmonary septal defect and tetralogy of Fallot is a rare combination.[ncbi.nlm.nih.gov] Cardiac examination reveals an enlarged heart , and like patients with patent ductus arteriosus (PDA) , the pulses are bounding.[radiopaedia.org] Cardiac examination reveals an enlarged heart and, like patients with patent ductus arteriosus, the pulses are bounding.[appliedradiology.com]

  • Atrial Septal Defect

    […] of Fallot, truncus arteriosus, and patent ductus arteriosus.[ncbi.nlm.nih.gov] Causes a continuous 'machinery' murmur loud in systole, soft in diastole, and 'bounding' pulse. patent medicine a drug or remedy protected by a trademark, available without[medical-dictionary.thefreedictionary.com] The chronic left-to-right shunt results in increased pulmonary blood flow and diastolic overload of the right ventricle.[emedicine.medscape.com]

  • Orthostatic Intolerance due to NET Deficiency

    […] of Fallot Ventricular septal defect Heart Failure Hypertension Essential Secondary Hypertensive emergencies Hypotension Cardiogenic shock Orthostatic hypotension Coronary[nccpa.net] pulse hypertension, tachypnea increased central venous pressure.( 11-12 cm of water).[quizlet.com] […] of at least 20 mm Hg or a diastolic blood pressure decrease of at least 10 mm Hg within three minutes of standing. 3.[slideshare.net]

  • Paroxysmal Ventricular Tachycardia

    […] of Fallot.[escardio.org] Others may experience: Fainting (syncope) Lightheadedness or dizziness Rapid heartbeat or palpitations Fluttering in the chest Bounding pulse Chest pressure, tightness or[heart.org] […] heart failure contractility coronary artery curve decrease diagnosis diastolic digitalis diuretics drug dyspnea ectopic effect ejection electrocardiogram fibers fibrillation[books.google.com]

  • Sinus Tachycardia

    Catheter ablation in tetralogy of Fallot. Heart Rhythm. 2009 Jul. 6 (7):1069-74. [Medline]. Hachiya H, Hirao K, Sasaki T, et al.[medscape.com] Others may experience: Fainting (syncope) Lightheadedness or dizziness Rapid heartbeat or palpitations Fluttering in the chest Bounding pulse Chest pressure, tightness or[heart.org] Cardiac output, blood pressure, and stroke volume increased as heart rate was reduced.[ncbi.nlm.nih.gov]

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