ALAN S. MAISEL, M.D.; J. EDWIN ATWOOD, M.D.; ARY L. GOLDBERGER, M.D.
MAISEL AS, ATWOOD JE, GOLDBERGER AL. Hepatojugular Reflux: Useful in the Bedside Diagnosis of Tricuspid Regurgitation. Ann Intern Med. 1984;101:781-782. doi: 10.7326/0003-4819-101-6-781
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Published: Ann Intern Med. 1984;101(6):781-782.
Using phonocardiography and auscultation, we ascertained the presence or absence of hepatojugular reflux and Carvallo's maneuver in three groups of 15 patients. The first group had isolated tricuspid regurgitation; the second, isolated mitral regurgitation; and the third was a control group with no murmurs. The specificity and sensitivity of hepatojugular reflux were 100% and 66%, and those of Carvallo's maneuver were 100% and 80%. All but 1 patient in our series had a positive response to one or the other maneuver (combined sensitivity, 93%). Thus, hepatojugular reflux is a useful adjunct to Carvallo's maneuver in the diagnosis of tricuspid regurgitation.
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Cardiology, Valvular Heart Disease.
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