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September 8, 1999

Osler Maneuver to Detect Pseudohypertension

Author Affiliations

Margaret AWinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;282(10):943. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-10-jbk0908

To the Editor: Dr Chae and colleagues1 evaluated increased pulse pressure as an independent risk of congestive heart failure in the elderly. However, the authors did not mention the use of the Osler maneuver to differentiate true hypertension from pseudohypertension. In pseudohypertension the cuff blood pressure is inappropriately higher than the true intra-arterial pressure because of excessive arteriosclerosis common in the elderly.2,3