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Dr Kailasam on Instagram: "Pulsus Paradoxus Trick in 5 seconds Pulsus paradoxus is often misunderstood as a pulse abnormality, but it’s actually an exaggerated fall in systolic blood pressure during inspiration. During inspiration, increased venous return to the right ventricle shifts the interventricular septum to the left, reducing left ventricular filling and lowering BP. During expiration, septal shift reverses, left ventricular filling improves, and BP rises. A difference of more than 12 mm
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