Pulsus parvus et tardus
| 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
- ↑ Etchells E, Bell C, Robb K (February 1997). "Does this patient have an abnormal systolic murmur?". JAMA : the Journal of the American Medical Association 277 (7): 564–71. PMID 9032164. Retrieved on 2012-04-09.
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