A patient with low cardiac output is having murmur of mitral regurgitation. CXR and histopathology of Endomyocardial biopsy is shown. Which type of pulse would be present in this case?: (A) Dicrotic pulse, (B) Anacrotic pulse, (C) Pulsus bisferiens, (D) Pulsus paradoxsus
Answer is A. Dilated cardiomyopathy(DCM) Endomyocardial biopsy -Multinucleated myocytes CXR -Increased CT ratio. The murmur of MR is explained by dilated mitral valve annulus. Pulse- Dicrotic pulse- Twice beating pulse which is palpable in both systole and diastole.