Margaret AWinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor
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
Cheng TO. Osler Maneuver to Detect Pseudohypertension. JAMA. 1999;282(10):943. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-10-jbk0908
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