title: Hepatojugular reflux: useful in the bedside diagnosis of tricuspid regurgitation.
abstract: 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.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004696:Endocarditis / Q000150:complications / Q000503:physiopathology; D005069:Evaluation Studies as Topic; D006337:Heart Murmurs; D006801:Humans; D007601:Jugular Veins / Q000502:physiology*; D008099:Liver / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D011312:Pressure; D012018:Reflex / Q000502:physiology*; D012119:Respiration; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis* / Q000209:etiology