Key result
In patients with high output states and low diastolic pressures, the diastolic reading between the third and fourth auscultatory phases more accurately reflects intra-arterial diastolic levels.
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Highlights that in patients with high output states, the muffling of Korotkoff sounds more accurately reflects intra-arterial diastolic blood pressure than the final sound.
Letters and Comments1 July 1969QUESTION OF THE MONTHJOSEPH M. MAUCERI, M.D.JOSEPH M. MAUCERI, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-71-1-216 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the Editor:The Question of the Month (700) on cardiovascular diseases in the April ANNALSincluded the statement that direct arterial measurements of diastolic blood pressure were best correlated with changes in auscultatory sound rather than the final sound heard. This was considered incorrect vis à vis the answer given. It is a well-known clinical observation that in patients with high output states and low diastolic pressures the diastolic reading between the third and fourth auscultatory phases—that is, that point where Korotkoff sounds change from a soft thud to a softer blowing quality, "muffling"—more accurately reflects intra-arterial diastolic levels....Reference1. GOLDSTEINKILLIP ST: Comparison of direct and indirect arterial pressures in aortic regurgitation. New Eng. J. Med. 267: 1122, 1962. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Albany Medical Center Albany, N. Y. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 July 1969Volume 71, Issue 1Page: 216-216KeywordsBlood pressureCardiovascular diseases Issue Published: 1 July 1969 PDF downloadLoading ...
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Joseph M. Mauceri (1969) conducted a letter in Cardiovascular diseases. Auscultatory sound measurement vs. Direct arterial measurement was evaluated on Correlation with intra-arterial diastolic levels. In patients with high output states and low diastolic pressures, the diastolic reading between the third and fourth auscultatory phases more accurately reflects intra-arterial diastolic levels.
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