The Ausculatory Gap in Arteriosclerotic Heart Disease

Author:

RODBARD SIMON1,MARGOLIS JACK1

Affiliation:

1. From the University of Buffalo Chronic Disease Research Institute, Buffalo, N. Y., and the Medical Service, Veterans Administration Hospital, Big Spring, Tex.

Abstract

Auscultatory gaps, found in some patients with arteriosclerotic heart disease, can be elicited in others by reducing blood flow in the extremity. Reactive hyperemia eliminates the gap in every instance. The gap therefore appears to represent a vasospastic disturbance that limits the blood flow to the extremities, despite the presence of an enhanced pressure head.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference11 articles.

1. COOK J. E. AND TAUSSIG A. E.: Auscultatory blood pressure determination: A source of possible error. J.A.M\.A. 68: 1088 1917.

2. THE AUSCULTATORY GAP IN SPHYGMOMANOMETRY

3. Concerning the mechanism of production of the Korotkoff sounds and their significance in blood pressure determinations;GLADSTONE S. A.;Bull. Johns Hopkins Hosp.,1929

4. The silent or auscultatory gap;BRIM C. J.;M. Rec.,1934

5. Flow through collapsible tubes

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1. Arterial Pulses and Pressures;Essentials of Bedside Cardiology;2003

2. Association of the Auscultatory Gap with Vascular Disease in Hypertensive Patients;Annals of Internal Medicine;1996-05-15

3. Confounders of auscultatory blood pressure measurement;Journal of General Internal Medicine;1995-04

4. Characterization of auscultatory gaps with wideband external pulse recording.;Hypertension;1991-02

5. Systolic hypertension;Current Problems in Cardiology;1982-09

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