Pulsus paradoxus in the bedside assessment of patients with bronchial asthma

B. S. Lewis, R. B. Goldberg, M. C. Kew

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3 Scopus citations


Pulsus paradoxus (PP) was measured in 35 patients with bronchial asthma. The presence and degree of PP correlated well with the clinical condition of the patient and with peak expiratory flow rate (PEF). PP and PEF are useful bedside measurements in the assessment and management of patients with bronchial asthma. Although the degree of PP is usually directly related to the severity of the attack of asthma, it was absent in the one patient who remained severely ill with unrelieved bronchospasm when he became exhausted. Our experience with this patient, and with previous patients who are not included in the present analysis, emphasises the fact that PP must not be considered in isolation but in conjunction with the patient's clinical state and with other indices of the severity of the asthmatic attack.

Original languageEnglish (US)
Pages (from-to)1210-1213
Number of pages4
JournalSouth African Medical Journal
Issue number31
StatePublished - Dec 1 1976
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)


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