#475: MMM - What "Widening Pulse Pressure" Means
Straight A Nursing: Study for nursing school exams & NCLEX
Straight A Nursing
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🗓️ 23 March 2026
⏱️ 6 minutes
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| 0:00.0 | Well, hello there. I'm Nurse Mo and welcome to Mo's Monday Minute, a shorty episode of the |
| 0:16.9 | Straight A Nursing podcast where I share a quick tip you can start using to improve your practice |
| 0:22.6 | or habits right away. For more in-depth topics, check out the episodes that I release on Thursdays. |
| 0:29.5 | So in this shorty episode, we're talking about pulse pressure. So before we dive into it, |
| 0:36.3 | let's do a very quick little review. So pulse pressure is a |
| 0:40.6 | culmination of two components, systolic and diastolic pressure. So systolic pressure is the |
| 0:46.4 | max pressure in the vessel when the heart contracts. And then the diastolic pressure is the minimum |
| 0:52.7 | pressure in the vessel when the heart is relaxed. |
| 0:56.4 | And pulse pressure is the difference between systolic and diastolic pressure. |
| 1:03.0 | So if the systolic pressure is, let's say, 120 and the diastolic pressure is 80, then pulse pressure is 40. And when pulse pressure is at about |
| 1:16.6 | 25% of systolic pressure, it is considered narrowed. It can also be wider. When it's greater than |
| 1:25.9 | 100, it's definitely considered quite wide. And there are quite a few |
| 1:31.8 | instances and situations in the clinical setting where a widening and wide pulse pressure |
| 1:38.8 | correlate with the pathophysiology of the patient. So one of the things, though, to take into consideration is that pulse pressure can widen based on age. |
| 1:50.0 | So your older patients may have a wider pulse pressure. |
| 1:53.2 | And this is simply because of decreased compliance of the arteries. |
| 1:58.2 | Now, it can also be wide in endurance athletes because as their cardiovascular |
| 2:04.7 | fitness increases from all those workouts, cardiac output and stroke volume increase, |
| 2:10.4 | but diastolic pressure decreases because of the decrease in total peripheral resistance. |
| 2:16.7 | This is secondary to the accumulation of slow twitch muscle fibers in the arterials |
| 2:22.3 | versus fast twitch muscle fibers. |
| 2:24.6 | So they have a lower diastolic pressure. |
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