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Medicine C.V.S 72041608

Wide pulse pressure is seen in-

A
Aoic regurgitation
B
PDA
C
MR
D
AS
High-Yield Explanation
The aerial pulse pressure is widened as a result of both systolic hypeension and a lowering of the diastolic pressure. The measurement of aerial diastolic pressure with a sphygmomanometer may be complicated by the fact that systolic sounds are frequently heard with the cuff completely deflated. As the disease progresses and the LV end-diastolic pressure rises, the aerial diastolic pressure may actually rise as well, because the aoic diastolic pressure cannot fall below the LV end-diastolic pressure. For the same reason, acute severe AR may also be accompanied by only a slight widening of the pulse pressure. Such patients are invariably tachycardic as the hea rate increases in an attempt to preserve the CO ( Harrison&;s principle of internal medicine,18th edition,pg no.1944 )

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