Cardiac Physical Diagnosis in the Digital Age: An Important but Increasingly Neglected Skill (from Stethoscopes to Microchips)

American Journal of Cardiology

Volumn 104, Issue 4, 2009, Pages 590-595

  Conn, Robert D ^a   O'Keefe, James H ^a  

^a UNIVERSITY OF MISSOURI KANSAS CITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

NEUROHORMONE;

ARTICLE; AUSCULTATION; BLOOD PRESSURE; CENTRAL VENOUS PRESSURE; CLINICAL COMPETENCE; CLINICAL PRACTICE; DIAGNOSTIC ACCURACY; ELECTROCARDIOGRAM; HEART DISEASE; HUMAN; MICROCHIP ANALYSIS; PATIENT CARE; PHYSICAL EXAMINATION; PRIORITY JOURNAL; PULSE RATE; SKILL; STETHOSCOPE;

CLINICAL COMPETENCE; DIAGNOSIS, COMPUTER-ASSISTED; HEART AUSCULTATION; HEART DISEASES; HUMANS; PHYSICAL EXAMINATION; POINT-OF-CARE SYSTEMS;

EID: 67849104181     PISSN: 00029149     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.amjcard.2009.04.030     Document Type: Article

References (23)

1. Humes J.C. Churchill: Speaker of the Century (1982), Scarborough Books, New York 269
2. Mangione S., Nieman L.Z., Gracely E., and Kaye D. The teaching and practice of cardiac auscultation during internal medicine and cardiology training. A nationwide survey. Ann Intern Med 119 (1993) 47-54
3. Mangione S. Cardiac auscultatory skills of physicians-in-training: a comparison of three English-speaking countries. Am J Med 110 (2001) 210-216
4. March S.K., Bedynek Jr. J.L., and Chizner M.A. Teaching cardiac auscultation: effectiveness of a patient-centered teaching conference on improving cardiac auscultatory skills. Mayo Clin Proc 80 (2005) 1443-1448
5. Barrett M.J., Lacey C.S., Sekara A.E., Linden E.A., and Gracely E.J. Mastering cardiac murmurs: the power of repetition. Chest 126 (2004) 470-475
6. Vukanovic-Criley J.M., Criley S., Warde C.M., Boker J.R., Guevara-Matheus L., Churchill W.H., Nelson W.P., and Criley J.M. Competency in cardiac examination skills in medical students, trainees, physicians, and faculty: a multicenter study. Arch Intern Med 166 (2006) 610-616
7. Stevenson L.W., and Perloff J.K. The limited reliability of physical signs for estimating hemodynamics in chronic heart failure. JAMA 261 (1989) 884-888
8. Cook D.J., and Simel D.L. The rational clinical examination. Does this patient have abnormal central venous pressure?. JAMA 275 (1996) 630-634
9. McGee S.R. Physical examination of venous pressure: a critical review. Am Heart J 136 (1998) 10-18
10. Vinayak A.G., Levitt J., Gehlbach B., Pohlman A.S., Hall J.B., and Kress J.P. Usefulness of the external jugular vein examination in detecting abnormal central venous pressure in critically ill patients. Arch Intern Med 166 (2006) 2132-2137
11. Seth R., Magner P., Matzinger F., and van Walraven C. How far is the sternal angle from the mid-right atrium?. J Gen Intern Med 17 (2002) 852-856
12. Ramana R.K., Sanagala T., and Lichtenberg R. A new angle on the Angle of Louis. Congest Heart Fail 12 (2006) 196-199
13. Kircher B.J., Himelman R.B., and Schiller N.B. Noninvasive estimation of right atrial pressure from the inspiratory collapse of the inferior vena cava. Am J Cardiol 66 (1990) 493-496
14. Simonson J.S., and Schiller N.B. Sonospirometry: a new method for noninvasive estimation of mean right atrial pressure based on two-dimensional echographic measurements of the inferior vena cava during measured inspiration. J Am Coll Cardiol 11 (1988) 557-564
15. The veins of the neck. In: Lewis W. (Ed). Anatomy of the Human Body by Henry Gray. 29th ed. (2000), Lea and Fibiger 1918, Philadelphia 646-647. http://www.Bartleby.com Bartleby.com
16. Ducas J., Magder S., and McGregor M. Validity of the hepatojugular reflux as a clinical test for congestive heart failure. Am J Cardiol 52 (1983) 1299-1303
17. Wiese J. The abdominojugular reflux sign. Am J Med 109 (2000) 59-61
18. Conn R.D., and Cole J.S. The cardiac apex impulse. Clinical and angiographic correlations. Ann Intern Med 75 (1971) 185-191
19. Cole J.S., and Conn R.D. Assessment of cardiac apex impulse using fiberoptics. Br Heart J 33 (1971) 463-468
20. Ewy G.A. Bedside evaluation of precordial pulsations. Cardiovasc Rev Rep 100 (1972) 156-157
21. Deliyannis A.A., Gillam P.M., Mounsey J.P., and Steiner R.E. The cardiac impulse and the motion of the heart. Br Heart J 26 (1964) 396-411
22. Mills Jr. R.M., and Kastor J.A. Quantitative grading of cardiac palpation. Comparison in supine and left lateral decubitus positions. Arch Intern Med 132 (1973) 831-834
23. Boicourt O.W., Nagle R.E., and Mounsey J.P. The clinical significance of systolic retraction of the apical impulse. Br Heart J 27 (1965) 379-391