Pulsus bisferiens

An arterial pulse contour characterized by a single systolic pulse wave with two distinct systolic peaks separated by a midsystolic dip reflecting abnormal ventricular ejection dynamics or altered arterial flow patterns.

Causes

• Mixed aortic valve disease

• Hypertrophic obstructive cardiomyopathy

• High-output states

  • Anemia

  • Patent ductus arteriosus

  • Arteriovenous fistula

• Aortic regurgitation