Wide pulse pressure: Difference between revisions

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A wide [[pulse pressure]] is defined as a difference between the [[systolic blood pressure]] and the [[diastolic blood pressure]] that exceeds 60 - 70 mm Hg.
A wide [[pulse pressure]] is defined as a difference between the [[systolic blood pressure]] and the [[diastolic blood pressure]] that exceeds 60 - 70 mm Hg.


==Differential Diagnosis of Causes of {{PAGENAME}}==  
==Causes==  
 
In alphabetical order <ref>Sailer, Christian, Wasner, Susanne.  Differential Diagnosis Pocket.  Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref>  <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>


*[[Aortic Dissection]]  
*[[Aortic Dissection]]  
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*Increased [[intracranial pressure]]
*Increased [[intracranial pressure]]
*[[Patent ductus arteriosus]]
*[[Patent ductus arteriosus]]
:*Murmmur through systole and diastole
:*Murmur through systole and diastole
:*Bounding impulses
:*Bounding impulses
*[[Sinus Bradycardia]]
*[[Sinus Bradycardia]]

Revision as of 19:34, 12 October 2012

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

Overview

A wide pulse pressure is defined as a difference between the systolic blood pressure and the diastolic blood pressure that exceeds 60 - 70 mm Hg.

Causes

  • Due to the hardening of arteries with age, there is an increased systolic blood pressure resulting in a higher pulse pressure.
  • Murmur through systole and diastole
  • Bounding impulses

Physical Examination

Heart

Chronic Aortic Regurgitation

  • Rapid rise and fall
  • Systolic BP of lower limbs >20mmHg than Systolic BP in arms

Other

Chronic Aortic Regurgitation

  • head bobs back and forth with each heartbeat

Laboratory Findings

Suggested Labs

Chest X Ray

MRI and CT

Echocardiography or Ultrasound

Other Imaging Findings

Treatment

  • Treat underlying causes

Pharmacotherapy

Acute Pharmacotherapies

Chronic Pharmacotherapies

Hyperthyroidism

Chronic aortic regurgitation

Surgery and Device Based Therapy

Indications for Surgery

Aortic dissection

  • Emergency surgery

Chronic aortic regurgitation

  • Aortic valve replacement
  • Commonly in patients with low EF

Hyperthyroidism

  • thyroidectomy

References


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