ARNOLD L. COLMAN, M.D.
To the editor: In his article "Jugular Venous Pulse in 2:1 Atrioventricular Block" (Ann Intern Med 73:277-279, 1970) Dr. Aronow offers a plausible physiological explanation for the appearance of prominent a waves followed by prominent c waves in the jugular venous pulses of patients with 2:1 atrioventricular block. The diagnostic value of this observation is doubtful, however, since the normal venous pulse includes a prominent a wave and c wave, relative to the v wave, and characteristically produces graphic tracings essentially similar to Dr. Aronow's (1), although admittedly the clinical appearance of the venous pulse at the bedside might have
ARNOLD L. COLMAN. Jugular Pulses in AV Block. Ann Intern Med. 1970;73:859. doi: 10.7326/0003-4819-73-5-859_1
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Published: Ann Intern Med. 1970;73(5):859.
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