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Echocardiography showed severely reduced left ventricular systolic function. After drainage of pleural and pericardial fluid, the patient developed severe hypotension and hypoxic respiratory failure. Extra\u2010 and intracranial neurovascular sonography demonstrated low carotid artery flow volume and dicrotic pulse waveforms in all vessels insonated bilaterally. This case report demonstrates an atypical dicrotic waveform pattern of transcranial Doppler in advanced ventricular dysfunction with shock.<\/jats:p>","DOI":"10.1111\/jon.12175","type":"journal-article","created":{"date-parts":[[2014,10,7]],"date-time":"2014-10-07T12:29:34Z","timestamp":1412684974000},"page":"680-682","source":"Crossref","is-referenced-by-count":1,"title":["Transcranial Doppler Sonography: Atypical Dicrotic Pulse Waveforms in a Man with HIV Infection and Severe Cardiomyopathy"],"prefix":"10.1111","volume":"25","author":[{"given":"Sureerat","family":"Suwatcharangkoon","sequence":"first","affiliation":[{"name":"Department of Neurology Wake Forest University Baptist Medical Center  Winston\u2010Salem"},{"name":"Division of Neurology Department of Medicine, Faculty of Medicine Ramathibodi Hospital Mahidol University  Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dana B.","family":"Meads","sequence":"additional","affiliation":[{"name":"Department of Neurology Wake Forest University Baptist Medical Center  Winston\u2010Salem"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles H.","family":"Tegeler","sequence":"additional","affiliation":[{"name":"Department of Neurology Wake Forest University Baptist Medical Center  Winston\u2010Salem"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick S.","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Department of Neurology Wake Forest University Baptist Medical Center  Winston\u2010Salem"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,10,7]]},"reference":[{"key":"e_1_2_3_2_1","first-page":"283","volume-title":"A Treatise on Human Physiology: Designed for the use of Students and Practitioners of Medicine","author":"Dalton JC","year":"1871"},{"key":"e_1_2_3_3_1","first-page":"16","volume-title":"The Study of the Pulse, Arterial, Venous and Hepatic and of the Movement of the Heart","author":"Mackenzie J","year":"1902"},{"key":"e_1_2_3_4_1","first-page":"77","volume-title":"Braunwald's Heart Disease. 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