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- W1996695968 abstract "Clinically, right atrial (RA) pressure (in cm of water) is determined as the sum of the vertical distance from the sternal angle of Louis to the peak of the right internal jugular venous pulse (JVP) and the vertical distance from the mid-right atrium to the sternal angle (assumed to be 5 cm). The accuracy of this estimate is affected by several variables, including the experience of the clinician, the patient’s body habitus and position, pathology of the neck and thorax, and the potentially erroneous assumption that the vertical distance to the sternal angle from the mid-right atrial reference level of the “venous manometer” is 5 cm in all patients.[ 1 Constant J Bedside Cardiology. 4th ed. Little, Brown and Company, Inc, Boston1993 Google Scholar , 2 Perloff JK Physical Examination of the Heart and Circulation. 2nd ed. W.B. Saunders Company, Philadelphia1990 Google Scholar , 3 Mackenzie J The Study of the Pulse, Arterial, Venous and Hepatic, and of the Movements of the Heart. Young J. Pentland, Edinburgh1902 Google Scholar , 4 Saunders Jr, DE Relationship of sternal angle to right atrium in clinical measurement of jugular venous pressure (abstr). J Am Coll Cardiol. 1988; 11: 89A Abstract Full Text PDF PubMed Scopus (48) Google Scholar ] Right atrial pressure also may be estimated by echocardiographic assessment of the diameter and respirophasic activity of the inferior vena cava (IVC).[ 5 Kircher BJ Himelman RB Schiller NB Noninvasive estimation of right atrial pressure from the inspiratory collapse of the inferior vena cava. Am J Cardiol. 1990; 66: 493-496 Abstract Full Text PDF PubMed Scopus (845) Google Scholar , 6 Nagueh SF Kopelen HA Zoghbi WA Relation of mean right atrial pressure to echocardiographic and Doppler parameters of right atrial and right ventricular function. Circulation. 1996; 93: 1160-1169 Crossref PubMed Scopus (213) Google Scholar ] The purposes of this study were: (1) to compare the accuracy of the JVP and echocardiographic (IVC) techniques for RA pressure estimation in patients with congestive heart failure, and (2) to use 2-dimensional echocardiography to obtain insight into sources of error inherent in the JVP technique." @default.
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- W1996695968 date "1997-12-01" @default.
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- W1996695968 title "Comparison of Estimates of Right Atrial Pressure by Physical Examination and Echocardiography in Patients With Congestive Heart Failure and Reasons for Discrepancies" @default.
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- W1996695968 doi "https://doi.org/10.1016/s0002-9149(97)00776-5" @default.
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