Pulsus parvus et tardus

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Pulsus parvus et tardus

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

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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. With respect to aortic stenosis, "typical findings include a narrow pulse pressure, a harsh late-peaking systolic murmur heard best at the right second intercostal space with radiation to the carotid arteries, and a delayed slow-rising carotid upstroke (pulsus parvus et tardus)."[1]

Footnotes

  1. Toy, Eugene, et al. Case Files: Internal Medicine. McGraw-Hill Companies, Inc. 2007. Page 43. ISBN 0071463038.

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