Unequal pulses

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Unequal pulses

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


Overview

A difference in blood pressure between arms or between the arms and legs. Examination of the vascular system is imperative. Unequal pulses can be indicative of an underlying disease.

Differential Diagnosis

In alphabetical order. [1] [2]

Diagnosis

Aortic aneurysm

Atherosclerosis

  • Atrophic changes and dependent rubor

Coarctation of the aorta

Aortic dissection

Peripheral heart disease

  • ABI of systolic pressure <0.9

Severe ischemia

  • <0.5 ABI of systolic pressure

Chest X Ray

  • potentially reveals
  • "rib notching"

MRA and CT

Other Imaging Findings

References

  1. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X

Acknowledgements

The content on this page was first contributed by Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]





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