Document Detail

Osler's Maneuver in outpatient veterans.
MedLine Citation:
PMID:  3453388     Owner:  NLM     Status:  MEDLINE    
A recently described procedure, Osler's Maneuver (OM), identifies patients with pseudohypertension. We examined the prevalence of OM positivity in consecutive outpatients at a Veterans Administration Medical Center. A total of 582 patients, median age of 61 years, were studied. OM was definitely positive in 3.4% (20/582). Age strongly related to OM (p less than 0.001). No patients under 50 were positive, while 15.6% (29/186) of those age 65 or older had a possible or definite OM. OM positive patients had higher systolic pressures than did OM negative patients (p less than 0.001). There was no significant relation between OM and diastolic pressure. In a regression analysis, definite or possible OM was associated with higher systolic pressure (p = .001). A moderate degree of observer variation in detection of OM was present (kappa = .675). OM positivity is common among the elderly, and so, pseudohypertension may occur more frequently than has been previously recognized.
A V Prochazka; R Martel
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of clinical hypertension     Volume:  3     ISSN:  0748-450X     ISO Abbreviation:  J Clin Hypertens     Publication Date:  1987 Dec 
Date Detail:
Created Date:  1988-08-22     Completed Date:  1988-08-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8510461     Medline TA:  J Clin Hypertens     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  554-8     Citation Subset:  IM    
Ambulatory Care Section, Denver Veterans Administration Medical Center, CO 80220.
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MeSH Terms
Arteriosclerosis / physiopathology*
Blood Pressure Determination
Calcinosis / physiopathology*
Diagnosis, Differential
Forearm / blood supply
Hypertension / physiopathology*
Middle Aged
Muscle, Smooth, Vascular / physiopathology*

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