The mean dynamic topography of the surface of the North Atlantic is estimated using an inverse model of the ocean circulation constrained by hydrographic and altimetric observations. In the North Atlantic, altimetric observations have no significant impact on the topography estimate because of the limited precision of available geoid height models. They have a significant impact, however, when uncertainties in the density field are increased to simulate interpolation errors in regions where hydrographic data are scarce. This result, which moderates the conclusion drawn by Ganachaud and co-workers of no significant contribution of altimetric observations to the determination of the large-scale steady circulation, reflects the simple idea that altimetric data are most useful near the surface of the ocean and in areas where the hydrography is poorly determined. One application of the present inverse estimate of the mean dynamic topography is to compute a geoid height correction over the North Atlantic which reduces the uncertainty in the geoid height expanded to spherical harmonic 40 down to a level of about 5 cm.