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Pulsus tardus et parvus

Introduction


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 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

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

References

  1. ↑ Etchells E, Bell C, Robb K (1997). “Does this patient have an abnormal systolic murmur?”. JAMA : the Journal of the American Medical Association. 277 (7): 564–71. PMID 9032164. Unknown parameter |month= ignored (help); |access-date= requires |url= (help)

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