{"id":12960,"date":"2014-07-29T00:51:35","date_gmt":"2014-07-29T00:51:35","guid":{"rendered":"http:\/\/cardiophile.org\/?p=12960"},"modified":"2023-02-10T17:51:28","modified_gmt":"2023-02-10T12:21:28","slug":"osler-sign-manouver","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/osler-sign-manouver\/","title":{"rendered":"Osler Sign\/Maneuver"},"content":{"rendered":"<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/Uww5F_xBW0A\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">Osler sign\/maneuver<\/span><\/h2>\n<figure id=\"attachment_52817\" aria-describedby=\"caption-attachment-52817\" style=\"width: 748px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-52817\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2014\/07\/Thickened-vessel-wall-causing-Oslers-sign-and-pseudo-hypertension.jpg\" alt=\"Thickened vessel wall causing Osler's sign and pseudo hypertension\" width=\"748\" height=\"453\" srcset=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2014\/07\/Thickened-vessel-wall-causing-Oslers-sign-and-pseudo-hypertension.jpg 748w, https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2014\/07\/Thickened-vessel-wall-causing-Oslers-sign-and-pseudo-hypertension-300x182.jpg 300w\" sizes=\"auto, (max-width: 748px) 100vw, 748px\" \/><figcaption id=\"caption-attachment-52817\" class=\"wp-caption-text\">Thickened vessel wall causing Osler&#8217;s sign and pseudo hypertension<\/figcaption><\/figure>\n<p>Radial artery palpable even after occluding the brachial artery by local pressure, often noted in elderly with thickened vessel wall is taken as a positive Osler sign. Alternatively three fingers can used over the radial artery. Proximal and distal fingers are used to occlude the flow from radial artery and the retrograde flow from the ulnar artery through the palmar arch. Middle finger is used to assess the thickening of the radial artery vessel wall. This method is also known a trisection.<\/p>\n<p>Thickened vessel wall indicates a chance for pseudohypertension due to difficulty in compressing the vessel with an externally applied blood pressure cuff. Intra arterial pressure recording will be normal in pseudohypertension, which is more common in elderly. Pseudohypertension should be suspected if patient develops giddiness after starting antihypertensive medication or following dose escalation [1]. Though intra arterial recording is the ideal way to confirm it, presence of Osler&#8217;s sign will give a hint. Moreover there will no evidence of target organ damage like changes in the optic fundi, left ventricular hypertrophy &#8211; both clinically and electrocardiographically.<\/p>\n<p><span style=\"color: #0000ff;\"><strong>Reference<\/strong><\/span><\/p>\n<ol>\n<li>Milind M Patil, Sadishkumar Kamalanathan, Jaya Prakash Sahoo, Muthupillai Vivekanandan. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5290806\/\">Pseudo Hypertension: Clue From Osler Sign<\/a>. J Family Med Prim Care<br \/>\n. Jul-Sep 2016;5(3):743.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Radial artery palpable even after occluding the brachial artery by local pressure, often noted in elderly with thickened vessel wall is positive Osler sign.<\/p>\n","protected":false},"author":1,"featured_media":58526,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[9],"tags":[2706,2707,3106,4042],"class_list":["post-12960","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general","tag-oslers-manouver","tag-oslers-sign","tag-psuedohypertension","tag-trisection"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Osler sign \/ maneuver - thickened radial artery in elderly<\/title>\n<meta name=\"description\" content=\"Radial artery palpable even after occluding the brachial artery by local pressure, often noted in elderly with thickened vessel wall is positive Osler sign.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/osler-sign-manouver\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Osler sign \/ maneuver - thickened radial artery in elderly\" \/>\n<meta property=\"og:description\" content=\"Radial artery palpable even after occluding the brachial artery by local pressure, often noted in elderly with thickened vessel wall is positive Osler sign.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/osler-sign-manouver\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2014-07-29T00:51:35+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-02-10T12:21:28+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2014\/07\/Thickened-vessel-wall-causing-Oslers-sign-and-pseudo-hypertension-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"727\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/osler-sign-manouver\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/osler-sign-manouver\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Osler Sign\\\/Maneuver\",\"datePublished\":\"2014-07-29T00:51:35+00:00\",\"dateModified\":\"2023-02-10T12:21:28+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/osler-sign-manouver\\\/\"},\"wordCount\":224,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/osler-sign-manouver\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/wp-content\\\/uploads\\\/2014\\\/07\\\/Thickened-vessel-wall-causing-Oslers-sign-and-pseudo-hypertension-1.jpg\",\"keywords\":[\"Osler's manouver\",\"Osler's sign\",\"psuedohypertension\",\"trisection\"],\"articleSection\":[\"General Cardiology\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/osler-sign-manouver\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/osler-sign-manouver\\\/\",\"name\":\"Osler sign \\\/ maneuver - 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