Annals of Emergency Medicine
Volume 44, Issue 2 , Pages 160-168 , August 2004

Ultrasonography of the internal jugular vein in patients with dyspnea without jugular venous distention on physical examination

  • Timothy Jang, MD

      Affiliations

    • Corresponding Author InformationAddress for correspondence: Timothy Jang, MD, Division of Emergency Medicine, Washington University School of Medicine, Campus Box 8072, St. Louis, MO 63110; 314-362-9177, fax 314-362-0478
  • ,
  • Chandra Aubin, MD, RDMS
  • ,
  • Rosanne Naunheim, MD
  • ,
  • Douglas Char, MD

Received 22 December 2003 ,Revised 5 March 2004 ,Accepted 9 March 2004.

References 

  1. Lewis T. Early signs of cardiac failure of the congestive type. BMJ. 1930;1:849–852
  2. Lipton B. Determination of elevated jugular venous pressure by real-time ultrasound. [letter] Ann Emerg Med. 1999;34:115
  3. Lipton B. Estimation of central venous pressure by ultrasound of the internal jugular vein. Am J Emerg Med. 2000;18:432–434
  4. Randazzo MR, Snoey ER, Levitt MA, et al.  Accuracy of emergency physician assessment of left ventricular ejection fraction and central venous pressure using echocardiography. Acad Emerg Med. 2003;10:973–977
  5. Jue J, Chung W, Schiller NB. Does inferior vena cava size predict right atrial pressures in patients receiving mechanical ventilation?. J Am Soc Echocardiogr. 1992;5:613–619
  6. Machraoui A, Von Dryander S, Hinrichsen M, et al.  Two-dimensional echocardiographic assessment of right cardiac pressure overload in patients with chronic obstructive airway disease. Respiration. 1993;60:65–73
  7. Stein J, Neumann A, Marcus R. Comparison of estimates of right atrial pressure by physical examination and echocardiography in patients with congestive heart failure and reasons for discrepancies. Am J Cardiol. 1997;80:1615–1618
  8. Zolty R. B-natriuretic peptide, a new tool for managing congestive heart failure. Primary Care Case Rev. 2003;6:21–28
  9. ACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (committee to revise the 1995 Guidelines for the Evaluation and Management of Heart Failure). J Am Coll Cardiol. 2001;38:2101–2113

 Author contributions: TJ performed the ultrasonographic examinations for this study. CA, RN, and DC assisted with case series concept design and provided editorial review. TJ takes responsibility for the paper as a whole.

☆☆ The authors report this study did not receive any outside funding or support.

 Reprints not available from the authors.

PII: S0196-0644(04)00281-1

doi: 10.1016/j.annemergmed.2004.03.014

Annals of Emergency Medicine
Volume 44, Issue 2 , Pages 160-168 , August 2004