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September 1958

The Hepatojugular Reflux

AMA Arch Intern Med. 1958;102(3):426-427. doi:10.1001/archinte.1958.00030010426012

The hepatojugularometer was devised to permit determination of the amount of force applied over the hepatic area to elicit the hepatojugular reflux and to allow this force to be varied as desired.1 The degrees of response to this test among different persons and at different times in the same person cannot be compared accurately unless at least the force applied to the hepatic area is known.1 This problem was further investigated by studying the responses of a series of subjects with and without chronic congestive heart failure.

Materials and Methods  The hepatojugularometer was employed, as described previously,1 in 273 adult subjects: 138 men and 72 women without chronic congestive heart failure or edematous states and 42 men and 21 women with failure. All control subjects had a venous pressure below 140 mm. H2O, and all patients with congestive heart failure, above this level. While a known force was applied with both hands to

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