{"id":21079,"date":"2015-12-18T08:00:54","date_gmt":"2015-12-18T02:30:54","guid":{"rendered":"https:\/\/cardiophile.org\/?p=21079"},"modified":"2015-12-18T08:00:54","modified_gmt":"2015-12-18T02:30:54","slug":"traubes-pulse-pulsus-alternans","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/traubes-pulse-pulsus-alternans\/","title":{"rendered":"Traube&#8217;s pulse &#8211; pulsus alternans"},"content":{"rendered":"<h2><span style=\"color: #008000;\">Traube&#8217;s pulse &#8211; pulsus alternans<\/span><\/h2>\n<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/BYnHUTtEnpk\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<p>Pulsus alternans or Traube&#8217;s pulse was described by&nbsp;Ludwig Traube in 1872 [1]. Traube&#8217;s pulse is nothing but alternating pulses having different volumes and is a feature of left ventricular dysfunction. It is well known that Traube&#8217;s pulse can be augmented by a premature ventricular contraction [2].<\/p>\n<p>A rare case of pulsus alternans due to<em> 2:1 left bundle branch block (LBBB)<\/em> has also been described [3]. The patient had normal coronaries and a left ventricular ejection fraction of 50%. The dyssynchrony associated with LBBB was thought to reduce left ventricular output during the block and consequent lower pulse volume in alternating beats.<\/p>\n<p>Pulsus alternans with <em>diastolic left ventricular dysfunction<\/em> in the absence of systolic dysfunction was noted in a case of renal artery stenosis and pulmonary edema [4]. The pulsus alternans in this case disappeared after renal revascularization.<\/p>\n<p>Treatment of heart failure causes improvement in pulsus alternans [5]. Similarly, improvement in pulsus alternans by ventilation therapy has been&nbsp;documented [6].<\/p>\n<p><span style=\"color: #0000ff;\"><strong>References<\/strong><\/span><\/p>\n<ol>\n<li>Conti AA. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22555838\">Nineteenth century &#8220;Traube&#8217;s pulse&#8221; and current &#8220;Cardiac alternans&#8221;: significant features in the history of cardiology<\/a>.&nbsp;Clin Ter. 2012;163(2):e71-2.<\/li>\n<li>Panutich MS, Knight BP. Augmentation of pulsus alternans by a premature ventricular beat.&nbsp;J Cardiovasc Electrophysiol. 2006 Aug;17(8):918.<\/li>\n<li>Barold SS, Herweg B. Pulsus alternans caused by 2:1 left bundle branch block.&nbsp;J Interv Card Electrophysiol. 2005 Apr;12(3):221-2.<\/li>\n<li>Kwan T, Feit A, Alam M, Mandawat MK, Clark LT. Pulsus alternans in diastolic left ventricular dysfunction&#8211;a case report.&nbsp;Angiology. 1997 Dec;48(12):1079-85.<\/li>\n<li>Kobayashi S, Susa T, Tanaka T, Murakami W, Fukuta S, Okuda S, Doi M, Wada Y, Nao T, Yamada J, Okamura T, Yano M, Matsuzaki M. Low-dose \u03b2-blocker in combination with milrinone safely improves cardiac function and eliminates pulsus alternans in patients with acute decompensated heart failure.&nbsp;Circ J. 2012;76(7):1646-53. Epub 2012 Apr 5.<\/li>\n<li>Haruki N, Takeuchi M, Yoshitani H, Otani K, Kuwaki H, Iwataki M, Abe H, Tamura M, Okazaki M, Otsuji Y. Immediate amelioration of mechanical pulsus alternans by adaptive servo-ventilation therapy.&nbsp;Heart Lung Circ. 2013 Apr;22(4):300-2.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Traube&#8217;s pulse &#8211; pulsus alternans Pulsus alternans or Traube&#8217;s pulse was described by&nbsp;Ludwig Traube in 1872 [1]. Traube&#8217;s pulse is nothing but alternating pulses having different volumes and is a feature of left ventricular dysfunction. It is well known that Traube&#8217;s pulse can be augmented by a premature ventricular contraction [2]. A rare case of [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":32920,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[9],"tags":[],"class_list":["post-21079","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Traube&#039;s pulse - pulsus alternan, described by Ludwig Traube<\/title>\n<meta name=\"description\" content=\"Pulsus alternans or Traube&#039;s pulse was described by\u00a0Ludwig Traube in 1872. Pulsus alternans is nothing but alternating pulses having different volumes.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/traubes-pulse-pulsus-alternans\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Traube&#039;s pulse - pulsus alternan, described by Ludwig Traube\" \/>\n<meta property=\"og:description\" content=\"Pulsus alternans or Traube&#039;s pulse was described by\u00a0Ludwig Traube in 1872. 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