Spike and Dome Contour

A descriptive term for the carotid arterial pulse curve seen in hypertrophic cardiomyopathy, which rises abruptly and falls during midsystole—spike—later rising a second time at a slower rate during late systole—dome; the jugular pulse in hypertrophic cardiomyopathy is characterised by a prominent ‘a’—atrial—wave

Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.