Open AccessThe use of the hepatic pressure maneuver to identify the murmur of tricuspid regurgitation
Author(s) -
Gooch A. S.,
Cha S. D.,
Maranhao V.
Publication year - 1983
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960060605
Subject(s) - medicine , regurgitation (circulation) , heart murmur , cardiology , tricuspid valve insufficiency , heart auscultation , electrocardiography
To enhance the bedside diagnosis of tricuspid regurgitation, the influence of manual pressure applied below the liver on lower left sternal border murmurs was determined in 23 patients. All 23 subjects had right ventriculograms and right atrial phonocardiograms. The sign was positive in 13 cases, including 3 who were without a Carvallo sign. The application of manual pressure below the liver is a simple and valid additional maneuver for identifying the murmur of tricuspid regurgitation.