Abstract

Jugular venous pressure (measured clinically) and pulse wave form (recorded at 100 mm/s) were analysed in 44 cases of first acute myocardial infarction and 10 age-matched controls. Patients were divided into different groups according to site of infarction decided by detailed 2-D echocardiography. Raised jugular venous pressure had high specificity (96.8%) but low sensitivity (39%) in diagnosing right ventricular infarction. Positive Kussmaul's sign had equal specificity but lower sensitivity (26.1%). Rapid 'y' descent had high specificity (100%) but low sensitivity (17.3%) in diagnosing right ventricular infarction. Jugular venous pressure and pulse wave form are significantly affected by the magnitude of damage to interventricular septum and left ventricular free wall.

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Publisher Full Text

Publisher Full Text

Authors

Mittal SR, Garg S, Lalgarhia M

Institution

Department of Medicine, J.L.N. Medical College, Ajmer, Rajasthan, India.

Source

International journal of cardiology 53:3 1996 Mar pg 253-6

MeSH

Echocardiography
Humans
Jugular Veins
Myocardial Infarction
Pulse
Reference Values
Sensitivity and Specificity
Venous Pressure
Ventricular Function, Right

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8793578