Pulsus tardus et parvus

[1] In medicine, pulsus tardus et parvus, also pulsus parvus et tardus, slow-rising pulse and anacrotic pulse, is a sign where, upon palpation, the pulse is weak/small (parvus), and late (tardus) relative to its expected characteristics.

It is seen in aortic valve stenosis.[2]

Typical findings in aortic stenosis include a narrow pulse pressure, left ventricular hypertrophy, a harsh late-peaking crescendo-decrescendo ejection systolic murmur heard best at the right second intercostal space with radiation to the carotid arteries, and a delayed slow-rising carotid upstroke (pulsus parvus et tardus).[3] A weak S2 and/or an S4 may also be noted.[1]


  1. 1 2 S2 (heart sound)#S2
  2. Li JC, Yuan Y, Qin W, et al. (April 2007). "Evaluation of the tardus-parvus pattern in patients with atherosclerotic and nonatherosclerotic renal artery stenosis". J Ultrasound Med. 26 (4): 419–26. PMID 17384038.
  3. Toy, Eugene, et al. Case Files: Internal Medicine. McGraw-Hill Companies, Inc. 2007. Page 43. ISBN 0-07-146303-8.

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