TY - JOUR
T1 - Usefulness of clinical assessment of the carotid pulse in the diagnosis of aortic stenosis
AU - Selvanayagam, Joseph
AU - De Pasquale, Carmine
AU - Arnolda, Leonard
N1 - Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2004/2/15
Y1 - 2004/2/15
N2 - In a prospective controlled study, we compared the blinded assessment of the carotid pulse (independent of other clinical signs) by 1 of 3 cardiologists with applanation tonometry on the radial and carotid pulse (time to dominant peak and maximum rate of rise [-dP/dt]). We studied 23 patients with significant isolated aortic stenosis (AS) and 23 control patients. The odds ratio of finding a slowly rising pulse, representing AS, compared with a finding of a "normal"/"indeterminate" pulse was 10.4. Radial dP/dt was significantly lower in the group with AS, whereas carotid dP/ dt was not significantly different between the 2 groups.
AB - In a prospective controlled study, we compared the blinded assessment of the carotid pulse (independent of other clinical signs) by 1 of 3 cardiologists with applanation tonometry on the radial and carotid pulse (time to dominant peak and maximum rate of rise [-dP/dt]). We studied 23 patients with significant isolated aortic stenosis (AS) and 23 control patients. The odds ratio of finding a slowly rising pulse, representing AS, compared with a finding of a "normal"/"indeterminate" pulse was 10.4. Radial dP/dt was significantly lower in the group with AS, whereas carotid dP/ dt was not significantly different between the 2 groups.
UR - http://www.scopus.com/inward/record.url?scp=1242270510&partnerID=8YFLogxK
U2 - 10.1016/j.amjcard.2003.10.054
DO - 10.1016/j.amjcard.2003.10.054
M3 - Article
C2 - 14969634
AN - SCOPUS:1242270510
SN - 0002-9149
VL - 93
SP - 493
EP - 495
JO - American Journal of Cardiology
JF - American Journal of Cardiology
IS - 4
ER -