Pulsus tardus et parvus
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In medicine
Medicine
Medicine is the science and art of healing. It encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness....

, pulsus tardus et parvus, also pulsus parvus et tardus, slow-rising pulse and anacrotic pulse, is a sign where, upon palpation
Palpation
Palpation is used as part of a physical examination in which an object is felt to determine its size, shape, firmness, or location...

, the pulse
Pulse
In medicine, one's pulse represents the tactile arterial palpation of the heartbeat by trained fingertips. The pulse may be palpated in any place that allows an artery to be compressed against a bone, such as at the neck , at the wrist , behind the knee , on the inside of the elbow , and near the...

 is weak/small (parvus), and late (tardus) relative to its usually expected character.

It is seen in aortic valve stenosis
Aortic valve stenosis
Aortic valve stenosis is a disease of the heart valves in which the opening of the aortic valve is narrowed. The aortic valve is the valve between the left ventricle of the heart and the aorta, which is the largest artery in the body and carries the entire output of blood.-Pathophysiology:The...

.

Typical findings in aortic stenosis include a narrow pulse pressure
Pulse pressure
Pulse Pressure is most easily defined as being the amount of pressure required to create the feeling of a pulse. Measured in millimeters of mercury , the pressure difference between the systolic and diastolic pressures give you the amount of pressure change to create the pulse, which is the pulse...

, left ventricular hypertrophy, a harsh late-peaking systolic murmur heard best at the right second intercostal space
Intercostal space
The intercostal space is the space between two ribs . Since there are 12 ribs on each side, there are 11 intercostal spaces, each numbered for the rib superior to it.-Structures in intercostal space:* several kinds of intercostal muscle...

 with radiation to the carotid arteries, and a delayed slow-rising carotid upstroke (pulsus parvus et tardus).

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