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(Chest. 1973;64:313-316.)
© 1973 American College of Chest Physicians

Lateral Displacement of the Head: A Sign of Decreased Right Ventricular Performance

Jorge C. Rios M.D.1; Gordon A. Ewy M.D.2; and R. A. Massumi M.D., F.C.C.P.1

1 Department of Medicine, George Washington University Medical Center, Washington, D.C.; University of Arizona College of Medicine, Tucson, Arizona
2 Teaching Scholar, American Heart Association

Lateral head movements were observed in eight patients with severe right ventricular failure. These motions, easily detectable from a distance, occurred in patients with elevated right atrial "a" waves. These movements appear to be related to a forceful right atrial contraction and reflect a decrease in right ventricular compliance.

Submitted on September 15, 1972
Accepted on March 20, 1973






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Copyright © 1973 by the American College of Chest Physicians.