Pulsus parvus et tardus: Difference between revisions
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'''''Synonyms and keywords:''''' Slow-rising pulse, delayed pulse, or anacrotic pulse | |||
==Overview== | ==Overview== | ||
'''Pulsus parvus et tardus''', more commonly known as a "slow-rising" or "anacrotic" pulse, is a [[sign (medicine)|sign]] where, upon [[palpation]], the [[pulse]] is weak/small (parvus), and late (tardus) relative to contraction of the [[heart]]. | '''Pulsus parvus et tardus''', more commonly known as a "slow-rising" or "anacrotic" pulse, is a [[sign (medicine)|sign]] where, upon [[palpation]], the [[pulse]] is weak/small (parvus), and late (tardus) relative to contraction of the [[heart]]. | ||
==Differential | ==Differential Diagnosis of the Underlying Causes of Pulsus Parvus et Tardus== | ||
Classically, it is seen in [[aortic valve stenosis]]. A [[meta analysis]],<ref name="pmid9032164">{{cite journal |author=Etchells E, Bell C, Robb K |title=Does this patient have an abnormal systolic murmur? |journal=[[JAMA : the Journal of the American Medical Association]] |volume=277 |issue=7 |pages=564–71 |year=1997 |month=February |pmid=9032164 |doi= |url= |accessdate=2012-04-09}}</ref> 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. | Classically, it is seen in [[aortic valve stenosis]]. A [[meta analysis]],<ref name="pmid9032164">{{cite journal |author=Etchells E, Bell C, Robb K |title=Does this patient have an abnormal systolic murmur? |journal=[[JAMA : the Journal of the American Medical Association]] |volume=277 |issue=7 |pages=564–71 |year=1997 |month=February |pmid=9032164 |doi= |url= |accessdate=2012-04-09}}</ref> 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== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{Circulatory system pathology}} | {{Circulatory system pathology}} | ||
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[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Medical signs]] | |||
[[Category:Signs and symptoms]] | [[Category:Signs and symptoms]] | ||
[[Category:Physical examination]] | [[Category:Physical examination]] | ||
Latest revision as of 18:31, 12 June 2015
| Pulsus parvus et tardus | |
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|---|---|
| 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