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
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COLMAN AL. 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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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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