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A case of pseudohypertension.

R J Massay¹, G A Mansoor

¹Department of Medicine, Queen Elizabeth Hospital, Bridgetown, Barbados.

The West Indian Medical Journal

|June 1, 1990

Summary

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Pseudohypertension, a condition with falsely elevated blood pressure readings, is highlighted. Clinicians should use Osler's maneuver for screening, as antihypertensive therapy is not indicated and can be harmful.

Area of Science:

Cardiology
Geriatrics
Clinical Medicine

Background:

Pseudohypertension is a clinical condition characterized by falsely elevated blood pressure readings.
The true prevalence of pseudohypertension remains largely unknown in the general population.
Accurate blood pressure measurement is crucial for appropriate patient management.

Observation:

A case of pseudohypertension was identified at our institution.
Osler's maneuver, assessing brachial artery palpability in pulseless individuals, serves as a potential screening tool.
This maneuver can aid in identifying patients who may have pseudohypertension.

Findings:

Diagnosis requires concurrent documentation of normal intra-arterial blood pressure with elevated readings from mercury sphygmomanometry.

Related Experiment Videos

Elevated blood pressure readings via standard sphygmomanometry do not always reflect true hypertension.

Normal intra-arterial pressure confirms pseudohypertension when sphygmomanometric values are high.

Implications:

Antihypertensive therapy is contraindicated in patients with pseudohypertension.
Inappropriate treatment can lead to adverse events and potential harm.
Awareness and screening for pseudohypertension are essential for avoiding unnecessary interventions.