What physical exam findings are associated with widened pulse pressure in chronic aortic regurgitation (AR)?

Updated: Nov 19, 2018
  • Author: Stanley S Wang, JD, MD, MPH; Chief Editor: Terrence X O'Brien, MD, MS, FACC  more...
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Diastolic pressures are often lower than 60 mm Hg, with pulse pressures often exceeding 100 mm Hg, although younger patients with more compliant vessels may have a less widened pulse pressure. Associated physical examination findings include the following:

  • Becker sign - Visible systolic pulsations of the retinal arterioles

  • Corrigan pulse ("water-hammer" pulse) - Abrupt distention and quick collapse on palpation of the peripheral arterial pulse

  • de Musset sign - Bobbing motion of the patient's head with each heartbeat

  • Hill sign - Popliteal cuff systolic blood pressure 40 mm Hg higher than brachial cuff systolic blood pressure

  • Duroziez sign - Systolic murmur over the femoral artery with proximal compression of the artery, and diastolic murmur over the femoral artery with distal compression of the artery

  • Müller sign - Visible systolic pulsations of the uvula

  • Quincke sign - Visible pulsations of the fingernail bed with light compression of the fingernail

  • Traube sign ("pistol-shot" pulse) - Booming systolic and diastolic sounds auscultated over the femoral artery

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