Capillary pulse

Last updated on: 07.01.2025

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History
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Friedrich von Müller (1858 - 1941), a German internist, was the first to describe the capillary pulse on the uvula (Decker 2016).

Definition
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A capillary pulse is the visualization of capillary ectasia in the context of aortic valve insufficiency (Lasserre 2002).

General information
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The capillary pulse can be visualized by applying light pressure to a fingernail (Herold 2023). The assessment is qualitative (Robert 2015).

Etiology
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A visible capillary pulse occurs with:

- Aortic valve insufficiency (Herold 2023)

Pathophysiology
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The capillary pulse is caused by capillary ectasia in the context of aortic valve insufficiency (Lasserre 2002). It is caused by the changing transmural pressure and the so-called Brownian motion (Robert 2015), an undirected thermal movement of particles, gases or liquids (Max 2024).

Localization
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A capillary pulse can be visualized on the fingernails, in the throat (on the uvula [Decker 2016) and on the lips using a microscope slide (Lasserre 2002).

Literature
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  1. Decker J, Ostendorf N, Antwerpes F (2016) Müller sign. DocCheck Flexikon doi: https://flexikon.doccheck.com/en/M%C3%BCller-sign#:~:text=Definition,compressed%20lips%20in%20severe%20aortic insufficiency.
  2. Herold G et al (2021) Internal medicine. Herold Publishing House 178
  3. Kasper D L, Fauci A S, Hauser S L, Longo D L, Jameson J L, Loscalzo J et al. (2015) Harrison's Principles of Internal Medicine. Mc Graw Hill Education
  4. Lasserre A (2002) GK 2 Anamnesis and general medical examination: original examination questions with commentary. Georg Thieme Verlag Stuttgart / New York 170
  5. Max R, Reh F, Antwerpes F, Ostendorf N (2024) Brownian motion. DocCheck Flexikon. doi: https://flexikon.doccheck.com/en/Brownsche_Bewegung
  6. Robert Y C A (2015) Clinic of intraocular pressure. Walter de Gruyter Verlag GmbH Berlin / Boston Ch. 5.2.3.

Outgoing links (1)

Aortic valve insufficiency;

Last updated on: 07.01.2025