This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Sivaciyan, V. Articles by Ranganathan, N. Search for Related Content PubMed PubMed Citation Articles by Sivaciyan, V. Articles by Ranganathan, N.

Circulation, Vol 57, 930-939, Copyright © 1978 by American Heart Association

ARTICLES

Transcutaneous doppler jugular venous flow velocity recording

V Sivaciyan and N Ranganathan

Transcutaneous bidirectional Doppler jugular venous flow velocity patterns were classified and correlated in 82 patients with right heart hemodynamics. The normal forward flow pattern was biphasic with systolic flow (Sf) greater than the diastolic flow (Df). With rare exceptions, flow patterns of Sf = Df, Sf is less than Df and Df alone indicated abnormal right heart hemodynamics. Abnormal flow patterns (Sf = Df and Sf is less than Df) seen in post cardiac surgery states, and in some rare patients with severe mitral regurgitation despite normal right-sided pressures, were probably secondary to postoperative change in right atrial compliance in the former and to a Bernheim effect in the latter. The most common cause of retrograde systolic flow in the absence of atrioventricular dissociation was tricuspid regurgitation. Persistent retrograde end-diastolic flow with normal forward flow was associated with high right atrial "a" wave pressures, indicating significant decrease in right ventricular compliance with a vigorous atrial contraction. The study clearly established that the jugular venous flow velocity pattern truly reflected derangements in the right heart hemodynamics, irrespective of the underlying etiology. The applicability to bedside evaluation of the jugular venous pulse and the right heart hemodynamics is emphasized.

This article has been cited by other articles:

				M. Carlsson, M. Ugander, E. Heiberg, and H. Arheden The quantitative relationship between longitudinal and radial function in left, right, and total heart pumping in humans Am J Physiol Heart Circ Physiol, July 1, 2007; 293(1): H636 - H644. [Abstract] [Full Text] [PDF]

				L Lindstrom, U M Wilkenshoff, H Larsson, and B Wranne Echocardiographic assessment of arrhythmogenic right ventricular cardiomyopathy Heart, July 1, 2001; 86(1): 31 - 38. [Abstract] [Full Text] [PDF]

				W. Matsuyama, R. Ohkubo, K. Michizono, M. Abe, Y. Nakamura, M. Kawabata, and M. Osame Usefulness of transcutaneous Doppler jugular venous echo to predict pulmonary hypertension in COPD patients Eur. Respir. J., June 1, 2001; 17(6): 1128 - 1131. [Abstract] [Full Text] [PDF]

				J. Constant Jugular Wave Recognition Breakthrough : X' Descent vs the X Descent and Trough Chest, December 1, 2000; 118(6): 1788 - 1791. [Abstract] [Full Text] [PDF]

				J. Peteiro, F. Redondo, R. Calvino, J. Cuenca, G. Pradas, and A. C. Beiras DIFFERENCES IN HEART TRANSPLANT PHYSIOLOGY ACCORDING TO SURGICAL TECHNIQUE J. Thorac. Cardiovasc. Surg., September 1, 1996; 112(3): 584 - 589. [Abstract] [Full Text]

				S. F. Nagueh, H. A. Kopelen, and W. A. Zoghbi Relation of Mean Right Atrial Pressure to Echocardiographic and Doppler Parameters of Right Atrial and Right Ventricular Function Circulation, March 15, 1996; 93(6): 1160 - 1169. [Abstract] [Full Text]