Cardiovascular Physical Examination
نویسنده
چکیده
1. What is the meaning of a slow rate of rise of the carotid arterial pulse? A carotid arterial pulse that is reduced (parvus) and delayed (tardus) argues for aortic valvular stenosis. Occasionally this also may be accompanied by a palpable thrill. If ventricular function is good, a slower upstroke correlates with a higher transvalvular gradient. In left ventricular failure, however, parvus and tardus may occur even with mild aortic stenosis (AS).
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