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      Using Internal Jugular Pulsations as a Manometer for Right Atrial Pressure Measurements

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          Abstract

          External jugulars are not reliable as an indication of right atrial pressure because of their passage through two right angles and also because they are often not visible. The top level of internal jugular pulsations which are transmitted to the skin of the neck serves as a pulsation manometer. A standard chest angle of 45° and a standard zero at the sternal angle can be used together with a centimeter ruler to give a useful measurement of jugular venous pressure. The use of a carpenter level (spirit level) and a round-bottomed tongue blade measured off in centimeters will allow accurate follow-up. An increase in tone-volume can be detected by the abdominal compression test or abdominojugular test (also known by the outdated terminology of hepatojugular reflux).

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          Author and article information

          Journal
          CRD
          Cardiology
          10.1159/issn.0008-6312
          Cardiology
          S. Karger AG
          0008-6312
          1421-9751
          2000
          June 2000
          04 July 2000
          : 93
          : 1-2
          : 26-30
          Affiliations
          State University of New York at Buffalo, N.Y., USA
          Article
          6998 Cardiology 2000;93:26–30
          10.1159/000006998
          10894903
          © 2000 S. Karger AG, Basel

          Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

          Page count
          Figures: 1, References: 17, Pages: 5
          Categories
          General Cardiology

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