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Conditions associated with low cardiac output and high systemic vascular resistance can produce a dicrotic pulse.
A dicrotic pulse is a type of pulse characterized by a percussion wave in systole and a prominent dicrotic wave in diastole.
Moreover, conditions associated with low systemic vascular resistance and a compliant aorta (e.g. sepsis) can also produce a dicrotic pulse, although the mechanism is not entirely understood.
In contrast to an anacrotic or bisferiens pulse, the 2 peaks in a dicrotic pulse occur in systole and diastole (as opposed to both occurring in systole).