Wide pulse pressure is seen in-: (A) Aoic regurgitation, (B) PDA, (C) MR, (D) AS
Answer is A. 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 )