Pulse Deficit: Causes, Pathophysiology, and Clinical Management

Pulse Deficit: Causes, Pathophysiology, and Clinical Management

1. Introduction A pulse deficit is a distinct clinical finding defined as the numerical difference between the apical heart rate—the actual number of ventricular contractions heard directly over the heart with a stethoscope—and the peripheral pulse rate, typically palpated at the radial artery in the wrist. In a healthy cardiovascular system, every contraction of the … Read more

Is it normal to have an irregular heartbeat when drinking alcohol?

Is it normal to have an irregular heartbeat when drinking alcohol?

1. Introduction Experiencing an irregular heartbeat after consuming alcohol is a documented clinical phenomenon often referred to as Holiday Heart Syndrome. Alcohol acts as a direct cellular toxin to the heart muscle and profoundly alters cardiac electrophysiology, triggering transient arrhythmias even in perfectly healthy individuals. This reaction typically manifests as a sensation of the heart … Read more

Is feeling a fluttering heartbeat a sign of atrial fibrillation?

Is feeling a fluttering heartbeat a sign of atrial fibrillation?

1. Introduction Feeling a fluttering heartbeat is frequently a hallmark sign of atrial fibrillation, an irregular and often rapid heart rhythm. This highly distinct sensation occurs when the upper chambers of the heart lose their organized electrical rhythm and begin to quiver chaotically, beating entirely out of synchronization with the lower pumping chambers. While isolated … Read more