词条 | Pseudohypertension |
释义 |
Because the stiffened arterial walls of arteriosclerosis do not compress with pressure normally, the blood pressure reading is theoretically higher than the true intra-arterial measurement. To perform the test, one first inflates the blood pressure cuff above systolic pressure to obliterate the radial pulse. One then attempts to palpate the radial artery, a positive test is if it remains palpable as a firm "tube". It occurs frequently in the elderly irrespective of them being hypertensive, and has moderate to modest intraobserver and interobserver agreement.[3] It is also known as "Osler's maneuver".[4][5] The sign is named for William Osler. See also
References1. ^{{cite web |url=http://www.merck.com/mkgr/mmg/sec11/ch85/ch85a.jsp |title=THE MERCK MANUAL OF GERIATRICS, Ch. 85, Hypertension |format= |work= |accessdate=2008-12-20}} {{Eponymous medical signs for circulatory and respiratory systems}}{{med-sign-stub}}2. ^1 {{cite journal|last=Franklin|first=SS|author2=Wilkinson, IB |author3=McEniery, CM |title=Unusual hypertensive phenotypes: what is their significance?|journal=Hypertension|date=February 2012|volume=59|issue=2|pages=173–8|pmid=22184330|doi=10.1161/HYPERTENSIONAHA.111.182956}} 3. ^Physical Diagnosis Secrets. Second Edition. Salvatore Mangione, MD 4. ^{{cite journal |author=Messerli FH |title=Osler's maneuver, pseudohypertension, and true hypertension in the elderly |journal=Am. J. Med. |volume=80 |issue=5 |pages=906–10 |date=May 1986 |pmid=2939716 |doi= 10.1016/0002-9343(86)90636-4|url=http://linkinghub.elsevier.com/retrieve/pii/0002-9343(86)90636-4}} 5. ^{{cite journal |vauthors=Belmin J, Visintin JM, Salvatore R, Sebban C, Moulias R |title=Osler's maneuver: absence of usefulness for the detection of pseudohypertension in an elderly population |journal=Am. J. Med. |volume=98 |issue=1 |pages=42–9 |date=January 1995 |pmid=7825617 |doi=10.1016/S0002-9343(99)80079-5 |url=http://linkinghub.elsevier.com/retrieve/pii/S0002-9343(99)80079-5}} 1 : Symptoms and signs: Vascular |
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