Gallavardin

Gal·la·var·din

(gahl-ă-var-dan[h]'),

Louis, French physician, 1875-1957. See: Gallavardin phenomenon.

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Clinical and special investigation features of aortic stenosis Aortic stenosis History Exertional dyspnoea Angina Syncope Physical findings Small-volume, slow-rising pulses Narrow pulse pressure JVP normal, unless heart failure or MV disease Pressure-loaded undisplaced apex beat Soft or single second heart sound Crescendo-decrescendo ejection systolic murmur at base of the heart Radiated to carotids Longer murmur = more severe High-pitched widely radiating murmur: Gallavardin effect--can be mistaken for MR Systolic click in bicuspid valve may be heard Special investigations ECG Left ventricular hypertrophy CXR Normal-sized heart (ventricle) Aortic calcification Post-stenotic dilatation: especially in bicuspid valves Table 4.

An approach to the diagnosis and management of valvular heart disease

The accuracy of oscillometers was improved by the use of a double cuff, first suggested for use in blood pressure measurement by Amblard in 1908 and popularised by Gallavardin (2).

Blood pressure monitoring--the von Recklinghausen oscillotonometer

Gallavardin phenomenon is an AS murmur transmitted in an altered format the apex and easily mimics mitral regurgitation (MR).