The Jugular Venous Pulse in Atrial Septal Defect

Morton E. Tavel, Richard A. Bard, Lawrence C. Franks, Harvey Feigenbaum, Charles Fisch

Research output: Contribution to journalArticle

10 Scopus citations


Atrial septal defect (ASD) frequently gives rise to a distinctive pattern of high, peaked jugular V waves which often exceed the A waves in height. Both the X and Y descents are relatively deep. Of 27 patients with ASD and normal pulmonary vascular resistance, 11 (41%) showed a pattern which, in itself, was sufficiently characteristic to be virtually diagnostic of ASD. This pattern generally indicates a fairly large left-to-right shunt and is lost when pulmonary hypertension complicates the picture. With rare exceptions, such a venous pulse was not seen in normal individuals and in patients without ASD.

Original languageEnglish (US)
Pages (from-to)524-529
Number of pages6
JournalArchives of Internal Medicine
Issue number6
StatePublished - Jun 1968

ASJC Scopus subject areas

  • Internal Medicine

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