Pulsus parvus et tardus: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 19: | Line 19: | ||
'''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. | ||
Revision as of 01:30, 14 April 2012
| Pulsus parvus et tardus | |
 | |
|---|---|
| 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 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.