A member asked:

What is biphasic pulse? does this mean if you feel double beat in your carotid artery you have hcm? how is it detected? thanks

2 doctors weighed in across 2 answers
Dr. Anita Prakash answered

Specializes in Cardiology

Bisferiens pulse : as you r referring to HCM I suspect you mean bisferiens pulse. It is not really a double beat -- but speaks to the physiology of HCM and how the pulse radiates to carotid. A cardiac MRI would seal the diagnosis of HCM and then you ought to see a cardiologist for treatment, management, risk stratification and family counseling.

Answered 12/11/2015

1.9k views

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Dr. Milton Alvis, jr answered

Specializes in Preventive Medicine

Two peaks/heart beat: instead of just one, aka pulsus bisferiens: https://en.wikipedia.org/wiki/Pulsus_bisferiens. HCM, hypertrophic cardiomyopathy, is only one possible basis via subaortic stenosis. Detection is normally by palpation (feel) which requires practice & comparison with a normal pulse in a similar location to appreciate. An easily felt double-pulse in carotid is more likely due to a premature beat.

Answered 12/7/2015

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How can I find carotid artery for pulse?

A doctor has provided 1 answer