1. Mayne's sign is mainly related to younger age and not to aortic regurgitation
- Author
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Jason Lazar, Michael Happes, Louis Salciccioli, Eun Hee Ko, and Haroon Kamran
- Subjects
Adult ,Male ,medicine.medical_specialty ,Younger age ,Brachial Artery ,Aortic Valve Insufficiency ,Blood Pressure ,Regurgitation (circulation) ,Assessment and Diagnosis ,Doppler echocardiography ,Diastole ,Aortic valve flow ,Internal medicine ,Internal Medicine ,medicine ,Humans ,Prospective Studies ,Aged ,Aged, 80 and over ,Advanced and Specialized Nursing ,medicine.diagnostic_test ,business.industry ,General Medicine ,Middle Aged ,Echocardiography, Doppler, Color ,Blood pressure ,Arm ,Cardiology ,Female ,Cardiology and Cardiovascular Medicine ,business ,circulatory and respiratory physiology ,Sign (mathematics) - Abstract
BACKGROUND An exaggerated decrease in diastolic blood pressure (DBP) upon raising the upper extremity is a sign of severe chronic aortic regurgitation (AR) (Mayne's sign). However, this finding was proposed prior to the widespread use of Doppler echocardiography. OBJECTIVE To determine the relation between Doppler echo determined AR and changes in DBP. METHODS We prospectively studied 30 controls without AR and 40 patients (69±15 years) with AR ranging from mild to severe and measured DBP before and during upper extremity raising. RESULTS The change in DBP was inversely correlated with age (r=-0.41, P
- Published
- 2010
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