The jugular venous tracing

Hartman, H.

doi:10.1016/0002-8703(60)90511-1

Cited by 63 publications

(17 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…6) shows the vertex of the v wave of the phlebogram 0 04 sec. after the closure of the pulmonary valve, with a normal SPAP and a heart rate of 90 per minute (Hartman, 1960). From these two cases Fig.…”

mentioning

confidence: 77%

“…When it is difficult to distinguish IIp, the recording ofthe external cardiogram ofthe pulmonary artery (Fishleder and Friedland, 1957) frequently demonstrates a notch that signals the closure of the pulmonary valve (Fig. 2) (Luisada, 1953), the vertex of the v wave of the phlebogram (Hartman, 1960), and the functional tricuspid opening snap which is seen in atrial septal defect with large shunt (Leatham and Gray, 1956). In some cases it is possible to record these three points of reference simultaneously (Fig.…”

mentioning

confidence: 99%

“…Two cases published by Hartman in 1960 formed the basis for the construction of this table. One of these recordings is shown in Fig.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Determination of pressure in the pulmonary artery by external graphic recordings.

Burstin¹

1967

Heart

View full text Add to dashboard Cite

Pulmonary hypertension is a fundamental problem in the study of diseases of the heart and lungs. Because of its importance with regard to patho- METHODThe determination of systolic pulmonary arterial pressure (SPAP) by external graphic recordings is based on the measurement of the phase of isometric relaxation of the right ventricle, which begins with the closure of the pulmonary valve and ends with the opening of the tricuspid (IIp-T interval). To measure this interval several points of reference on the graphic recordings are used (Fig. 1). The closure of the pulmonary valve is represented by the pulmonary component of the second sound of the phonocardiogram (HIp), which is easily identifiable following the aortic component (IIa), especially when there is pulmonary hypertension or the second sound is split. With paradoxical splitting of the second sound, the vertex of the incisura of the carotid pulse is useful in identifying IIa, and, therefore, by exclusion, IIp. When it is difficult to distinguish IIp, the recording ofthe external cardiogram ofthe pulmonary artery (Fishleder and Friedland, 1957) frequently demonstrates a notch that signals the closure of the pulmonary valve (Fig. 2). The opening of the tricuspid

show abstract

mentioning

confidence: 77%

mentioning

confidence: 99%

See 1 more Smart Citation

Determination of pressure in the pulmonary artery by external graphic recordings.

Burstin¹

1967

Heart

View full text Add to dashboard Cite

show abstract

“…2 However, later studies regarding the timing of the jugular venous c wave and carotid-artery pulsation did not support this theory. [3][4][5] Therefore, another, more reasonable theory is that the jugular venous or right-atrial c wave is caused by the closure of the tricuspid valve. An opinion that combines the 2 theories 6 (that both carotid-artery pulsation and tricuspid valve closure contribute to the production of jugular venous c wave) has also been suggested.…”

Section: Discussionmentioning

confidence: 99%

Mechanism and incidence of notched pulmonary venous atrial reversal wave

Sohn¹,

Choi²

2003

Journal of the American Society of Echocardiography

View full text Add to dashboard Cite

“…range of 8-65 years, Tavel [32] found this only in 41 % of his subjects. Hartman [23], however, found this only occasionally. In our experience, in patients with atrial sep tal defect, although a Y descent may be visible, the X' descent usually remains dominant.…”

Section: Differential Diagnosis Of Double Descentsmentioning

confidence: 92%

Jugular Venous Flow Velocity Pattern Application to Bedside Recognition of Jugular Venous Pulse Contour and Right Heart Hemodynamics

Ranganathan¹,

Sivaciyan²

1993

Am J Noninvas Cardiol

View full text Add to dashboard Cite

Jugular venous flow velocity patterns and their variations reflect right heart hemodynamics and its derangement irrespective of underlying etiology. Since jugular venous flow velocity peaks correspond to the descents in the right atrial pressure pulse, the observations on jugular venous flows are valuable to bedside assessment of jugular venous pulse contour and right heart function. In normal adults, systolic flow (Sf) and the corresponding X' descent caused by the descent of the base is dominant. Although the smaller diastolic flow (Df) is recordable, the corresponding Y descent is not usually seen. Double descents in the jugular venous pulse whether X' > Y, X' = Y or X' < Y, generally arise either because the X' descent is decreased or the Y descent is exaggerated or both, similar to the corresponding flow velocity peaks. Decreased Sf (X' descent) usually reflects decreased right ventricular (RV) contraction as in RV failure in pulmonary hypertension, post-cardiac surgery RV damage and RV infarction. Sf and X' descent diminish in atrial fibrillation due to the loss of the Starling effect of the atrial contraction and rarely in severe mitral regurgitation due to a Bemheim effect on the interatrial septum. The Df (Y descent) gets exaggerated when there is increased V wave pressure- head with no restriction to ventricular filling during the rapid filling phase of diastole as may be seen with high sympathetic tone, hypervolemia, extra source of venous return as in atrial septal defect, pericardial effusion with some restriction, constrictive pericarditis, pulmonary hypertension with elevated RV diastolic pressure, RV infarct and cardiomyopathy. The exaggerated Df and Y descent with normal V wave pressure in post-cardiac surgery patients is explainable by the decreased right atrial capacitance function. In pulmonary hypertension, the jugular venous flow velocity pattern progresses from a compensated state reflected by Sf dominance (X' > Y) to equal Sf and Df (X' = Y) with rising RV pre-A wave pressure, to dominant Df (X' < Y) with onset of RV failure, and eventually to Df alone (single Y descent) with significant RV decompensation. In the absence of pulmonary hypertension, equal Sf and Df (X' = Y) indicates increased V wave pressure with no restriction to rapid filling (except in post-cardiac surgery patients), whereas the dominant Df pattern (X' < Y) indicates decreased RV function. Thus, an understanding of the jugular venous flow velocity pattern is directly applicable to bedside assessment of jugular venous pulse contour and right heart function.

show abstract

The jugular venous tracing

Cited by 63 publications

References 10 publications

Determination of pressure in the pulmonary artery by external graphic recordings.

Determination of pressure in the pulmonary artery by external graphic recordings.

Mechanism and incidence of notched pulmonary venous atrial reversal wave

Jugular Venous Flow Velocity Pattern Application to Bedside Recognition of Jugular Venous Pulse Contour and Right Heart Hemodynamics

Contact Info

Product

Resources

About