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词条 Pseudohypertension
释义

  1. See also

  2. References

Pseudohypertension, also known as pseudohypertension in the elderly, noncompressibility artery syndrome, and Osler's sign of pseudohypertension is a falsely elevated blood pressure reading obtained through sphygmomanometry due to calcification of blood vessels which cannot be compressed.[1] There is normal blood pressure when it is measured from within the artery.[2] This condition however is associated with significant cardiovascular disease risk.[2]

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

  • Osler's sign

References

1. ^{{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}}
2. ^{{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}}
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1 : Symptoms and signs: Vascular

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