Sep 17, 2014
Medical Student
The other day , I took a F/85's BP.On the get-go it appeared like any other BP exp. , but repeating I observed a gap of some 25mm Hg in recording systolic via auscultation vs palpatory methods . I could not see obvious features of the "silent gap" ( aka. auscultation gap ) via Korotkoffs at the higher end but radial pulse got Sys @148 vs korotkoffs at 126
then I used a Walgreen Auto BP cuff and it gave me findings consistent with radial method.Is this the silent gap? The patient is a known hypertensive and on visiting the GP was told that her BP treatment has swung her hypo. Pretty vague ..but that is all the history I have momentarily .