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Everything about Hyperdynamic circulation

Abnormally increased circulatory volume

Hyperdynamic circulation is abnormally increased circulatory volume. Systemic vasodilation and the associated decrease in peripheral vascular resistance results in decreased pulmonary capillary wedge pressure and decreased blood pressure, presenting usually with a collapsing pulse, but sometimes a bounding pulse. In effort to compensate the heart will increase cardiac output and heart rate, which accounts for the increased pulse pressure and sinus tachycardia. Hyperdynamic circulation is a hallmark of distributive shock and physiological states like normal pregnancy. It is also a defining feature of high-output cardiac states, which include severe anemia, hyperthyroidism, liver cirrhosis, and large arteriovenous malformations. Wikipedia →

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  1. Read the overview: Hyperdynamic circulationA 5-minute orientation
  2. Skim a recent paper: Evaluation of the definition of hyperdynamic circulation in patients with cirrhosis and ascitesInfluential work since 2022
  3. Pick up a classic book: Portal hypertensionThe most-reprinted book on the subject
  4. Read the landmark paper: Hyperdynamic circulation in cirrhosis: a role for nitric oxide?Cited 500 times
  5. Go sideways: Critical illness–related corticosteroid insufficiencyA closely related topic
  6. Go sideways: Collapsing pulseA closely related topic

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