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Causes of cardiac involvement in Takayasu arteritis
- AR
- Hypertension
- Coronary stenosis due to coronary arteritis
- Myocarditis
- Takayasu arteritis (TA) is 10 times more common in women.
- Average age of onset of TA is 25 years.
- In TA, arterial stenoses are 3 to 4 times more common than aneurysms.
- In TA, lower limb claudication occurs in two-third cases while upper limb claudication occurs in one-third cases.
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Causes of leg pain on exertion-
- Arterial obstruction
- Venous insufficiency
- Spinal canal narrowing
- Myositis & McArlde syndrome
- Arthritis
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Causes of arterial obstruction as cause of leg pain-
- Atherosclerosis
- Thrombosis
- Embolism
- Vasculitis- Takayasu, TAO, GCA
- Coarctation
- Arterial compression
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End point systolic separation is falsely increased (without LV dysfunction) in
- AR
- MS &
- IWMI.
- Osler’s maneuver- If arterial wall is palpable after inflating BP cuff to suprasystemic pressures, it means that arterial wall is rigid. In such a patient, BP records may be overestimations.
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