Send to

Choose Destination
See comment in PubMed Commons below
Chest. 2000 Dec;118(6):1788-91.

Jugular wave recognition breakthrough: X' descent vs the X descent and trough.

Author information

State University of New York at Buffalo, Buffalo, NY, USA.


Irrational nomenclature and concentrating on ascents and peaks of waves have made recognition of jugular waves an occult art. By agreeing to call atrial relaxation X: and the systolic fall in atrial pressure due to the descent of the base X', we can begin to teach the easy recognition of jugular contours. Next, it is necessary to realize that the artifacts seen on electronically derived jugular pulse tracings are not to be expected when observing the neck pulsations with the naked eye. Finally, it can be shown that the easiest way to recognize jugular waves is by timing only descents as being either systolic or diastolic according to their relation to either the patient's radial pulse or heart sounds. It is almost unknown that only a single systolic descent due to the descent of the base is usual in the normal adult jugular.

[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center