We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

The Hepatojugular Reflux

Nicholas DePasquale; G. E. Burch
AMA Arch Intern Med. 1958;102(3):426-427. doi:10.1001/archinte.1958.00030010426012.
Text Size: A A A
Published online


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


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.