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. 1990 May 19;335(8699):1199-201.
doi: 10.1016/0140-6736(90)92709-q.

Brachioradial delay: a new clinical indicator of the severity of aortic stenosis

R M Leach  1 , D J McBrien
Affiliations

Brachioradial delay: a new clinical indicator of the severity of aortic stenosis

R M Leach et al. Lancet. .

Abstract

During the assessment of patients with severe or symptomatic aortic stenosis, a clinically detectable delay between the brachial and radial pulses was observed. This delay was not present in normal subjects. The timed delay of 53.5 (SE 2.6) ms in severe aortic stenosis was significantly longer than that in normal volunteers 22.6 [1.3] ms) or in patients with low cardiac output. This increased delay was clinically detectable before the occurrence of left ventricular failure and often before the onset of symptoms.

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Comment in

  • Brachioradial delay and severity of aortic stenosis.
    Caro CG, Parker KH. Caro CG, et al. Lancet. 1990 Jun 23;335(8704):1535. doi: 10.1016/0140-6736(90)93083-2. Lancet. 1990. PMID: 1972471 No abstract available.
  • Brachioradial delay.
    O'Rourke MF, Avolio AP, Karamanoglu M, Gallagher D, Schyvens C. O'Rourke MF, et al. Lancet. 1990 Dec 1;336(8727):1377-8. doi: 10.1016/0140-6736(90)92928-b. Lancet. 1990. PMID: 1978181 No abstract available.

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