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A 55-year-old male is seen in the emergency department with fatigue and vague chest pain. Measurement of his blood pressure reveals that when his arm is raised, there is a drop in blood pressure of at least 15 mmHg compared to when the arm is at rest. Which of the following is most likely?
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Teaching Points
- Mayne sign is sometimes seen in patients with acute aortic regurgitation.
- The blood pressure drops by at least 15 mmHg when the arm is elevated.
- Unfortunately, the relevance of this sign remains questionable. It was first described before Doppler ultrasound was available. It is not specific for aortic insufficiency.
- It is also seen in young people with normal valves, hence its presence is not an indication of heart disease.
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