pressure will be wide with a sudden collapse of the pulse at the end. The classical Corrigan or 'water hammer' pulse is rarely felt these days, as such marked disease is surgically corrected.[5] For similar reasons, signs associated with very high pulse pressure, such as the head bobbing with each pulse and pulsusbisferiens, are largely of historical interest.Aortic regurgitation murmur:[6]S1 is soft
signs that reflect the presence of simultaneous aortic stenosis and insufficiency, e.g., pulsusbisferiens, emerge.[citation needed]According to a meta-analysis, the most useful findings for ruling in aortic stenosis in the clinical setting were slow rate of rise of the carotid pulse (positive likelihood ratio ranged 2.8–130 across studies), mid to late peak intensity of the murmur (positive
and fainting episodes.[27]Pulsusbisferiens may occasional be found during examination.[28]Variants [edit]"HOCM" redirects here. For the museum in Olympia, Washington, US, see Hands On Children's Museum.Depending on whether the distortion of normal heart anatomy causes an obstruction of the outflow of blood from the left ventricle of the heart, HCM can be classified as obstructive or non-obstructive