Pulsus parvus et tardus: Difference between revisions
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==Differential diagnosis of causes of Pulsus parvus et tardus== | ==Differential diagnosis of causes of Pulsus parvus et tardus== | ||
Classically, it is seen in [[aortic valve stenosis]]. | 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. | ||
==Footnotes== | ==Footnotes== | ||
{{ | {{Reflist|2}} | ||
==External links== | ==External links== | ||
Revision as of 01:29, 14 April 2012
| 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]
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 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.