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- W2022082905 abstract "In 1873 Kussmaul1 reported the observation that, in 2 patients with constrictive pericarditis, the expected inspiratory collapse of neck veins was replaced by increased inspiratory distension. The association of Kussmaul's sign, as it subsequently became called, with constrictive pericarditis is now widely accepted. At the same time it is also recognized that it is not specific to this pathology and can be observed in congestive heart failure,2–4 restrictive cardiomyopathy,5 right ventricular infarction6 and acute cor pulmonale.7 As stressed by Spodick,8 it is not a feature of pericardial tamponade and is of value in distinguishing tamponade from pericardial constriction. In spite of its clinical value and wide use, the underlying mechanism is poorly understood.9 We report our observations based on 6 patients with chronic constrictive pericarditis in an attempt to clarify the mechanism of this sign." @default.
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- W2022082905 date "1989-11-01" @default.
- W2022082905 modified "2023-09-25" @default.
- W2022082905 title "Mechanism underlying Kussmaul's sign in chronic constrictive pericarditis" @default.
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- W2022082905 doi "https://doi.org/10.1016/0002-9149(89)90817-5" @default.
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