Causes of Radio Radial and Radio femoral delay

Hello :)

Before this post I didn't realise the importance of checking and comparing both the radial pulses.

Pulse, by definition, is the expansion and elongation of the arterial wall imparted by the column of blood, passively produced by the pressure changes during ventricular systole and diastole.
Always report the pulse under following headings.

Assessment of pulse include :-

1. RATE (beats/min)
-Tachycardia (>100bpm)
-bradycardia (<60bpm)

2.RHYTHM
-regular
-regularly irregular (2nd degree heart block)
-Irregularly irregular (Atrial fibrillation, ventricular premature beat)

3.EQUALITY

4.CHARACTER

5.PERIPHERAL PULSES

6.APEX PULSE DEFICIT (atrial fibrillation )

7. RADIO RADIAL /RADIO FEMORAL DELAY

Today , I will discuss the causes of Radio Radial and Radio Femoral delay.

CAUSES OF RADIO RADIAL DELAY :-

1. Normal anatomical variations
2. Thoracic inlet syndrome, e.g. cervical rib
3. Aneurysm of Arch of aorta
4. Presubclavian coarctation
5. Supravalvular aortic stenosis
6. Pulseless disease
7. Peripheral embolism or artheromatous plaques
8. Artherosclerosis of aorta
9. Pressure over axillary artery by lymph nodes
10. Iatrogenic, Blalock-Tausig shunt operation in TOF

CAUSES OF RADIO FEMORAL DELAY :-

1. Coarctation of aorta
2. Artherosclerosis of aorta
3. Thrombosis or embolism of aorta
4. Aortoarteritis

That's all for today,
-Upasana Y. :)