Pseudohypertension

Pseudohypertension is falsely elevated blood-pressure readings due to stiff, calcified arteries (which cannot be compressed by the cuff), common in elderly/diabetics, suggested by a positive Osler sign (palpable radial/brachial artery after cuff occlusion). It can lead to over-treatment and hypotension. Treatment: confirm by oscillometric measurement or intra-arterial line; avoid aggressive lowering; treat true BP rather than cuff readings.

Common Symptoms

Falsely high cuff BP; elderly/diabetic; stiff arteries; symptoms of hypotension on treatment

Causes and Pathogenesis

Calcified stiff arteries cannot be compressed, overestimating intra-arterial pressure.

Treatment

Confirm by oscillometric/intra-arterial; avoid over-treatment; treat true BP

Preventive Measures

Recognize Osler sign; confirm by alternative methods.

Department to Visit

It is recommended to visit the Cardiology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.