People who constantly have high blood pressure or have severe arteriosclerosis have distinct and very curved arteries on the temples and neck.
Examining the neck of a person with aorticinsufficiency, the specialist will immediately notice the vibrating of the paired arteries on both sides of the neck - this is the dance of the carotid. In parallel with the rhythm of heartbeat, the head can swing back and forth. This is due to a sharp change in the force of blood pressure in the paired blood vessels, which go parallel to the respiratory throat and esophagus. As a result of pulsation, they cause head movements.
In the neck area, pulsation of the jugularveins. In this process, one can judge pressure in the right atrium and cardiac activity. Swelling of the veins of a healthy person is seen in the prone position.
The symptom of a carotid dance can unite with other pulsating arteries, even arterioles can be attached to this process.
At this moment, the pulse of the Quincke is well defined when pressing on the end of the nail bed and at the pressure on the mucosa in the oral cavity, as well as when rubbing the skin on the forehead.
A well-marked dance of carotids occurs in the regionabdomen, its epigastric part, and it arises as a result of contraction of a greatly enlarged right ventricle or because of a pulsating abdominal aorta. It is better to see the pulsation caused by the right ventricle, under the lower free end of the shortest and narrowest chest part. The patient should be examined in a standing position.
The dance carotid of the abdominal aorta is very noticeable on the exhale, at this time the person being examined is in a horizontal position.
There are two types of pulsation of the liver:
The second type of pulsation can occur whenaortic valve insufficiency (dancing carotid). An increase (swelling) occurs simultaneously with the apical impulse of the heart and is arterial. With tricuspid insufficiency, a venous pulsation will occur. This is due to the backflow of blood into the not thoroughly closed passage from the right ventricle to the right heart chamber. And then the blood enters the inferior vena and hepatic veins. This is what leads to swelling of the liver.