Pulsus parvus et tardus

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	Pulsus parvus et tardus;
	Slow rising, small and late pulse

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and keywords: Slow-rising pulse, delayed pulse, or anacrotic pulse

Overview

Pulsus parvus et tardus, more commonly known as a "slow-rising" or "anacrotic" pulse, is a sign where, upon palpation, the pulse is weak/small (parvus), and late (tardus) relative to contraction of the heart.

Differential Diagnosis of the Underlying Causes of Pulsus Parvus et Tardus

Classically, it is seen in aortic valve stenosis. A meta analysis,^[1] demonstrated the presence of pulsus parvus et tardus or anacrotic pulse as the most useful finding to rule in or rule out aortic stenosis in the clinical setting. The positive likelihood ratio observed across studies was 2.8 to 130.

References

↑ Etchells E, Bell C, Robb K (1997). "Does this patient have an abnormal systolic murmur?". JAMA : the Journal of the American Medical Association. 277 (7): 564–71. PMID 9032164. Unknown parameter |month= ignored (help); |access-date= requires |url= (help)

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[pmid9032164-1] Etchells E, Bell C, Robb K (1997). "Does this patient have an abnormal systolic murmur?". JAMA : the Journal of the American Medical Association. 277 (7): 564–71. PMID 9032164. Unknown parameter |month= ignored (help); |access-date= requires |url= (help)

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