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Review Paper
The Physical Examination in Heart Failure—Part I
Carl V. Leier, MD; 1 Kanu Chatterjee, MD 2
From the  Division of Cardiovascular Medicine, The Ohio State University College of Medicine and Public Health, Columbus, OH;1 and the  Division of Cardiology, University of California, San Francisco, San Francisco, CA2
Correspondence to  Carl V. Leier, MD, Division of Cardiology, The Ohio State University, Davis Heart Lung Research Institute, 473 West 12th Avenue, Columbus, OH 43210
E-mail: carl.leier@osumc.edu
Copyright 2007 Le Jacq

(CHF. 2007;13:41–47)

ABSTRACT

The major components and merits of the physical examination of patients with heart failure are presented. A staging of the physical examination practiced by most heart failure specialists is proposed based on the information needed at the time of the encounter. The challenges to our subspecialty regarding this diagnostic tool are the prevention of its extinction during an era of seemingly limitless comprehensive laboratory testing, the promotion of its widespread use, and, over the years, the subjection of its components to the rigors of blinded controlled studies. Part I addresses the staging of the physical examination in heart failure, general observation of the patient, vital signs, and assessment of arterial pulse and neck veins.


Manuscript received November 6, 2006; accepted December 21, 2006

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1527-5299.2007.06409.x About DOI

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