Distention of Neck Veins: Causes & Reasons

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Possible Causes for Distention of Neck Veins

Cor Pulmonale

Findings include peripheral edema, neck vein distention, hepatomegaly, and a parasternal lift. Diagnosis is clinical and by echocardiography. [msdmanuals.com]

Pulmonary artery hypertension then leads to right ventricular failure Findings include peripheral edema, neck vein distention, hepatomegaly, and a parasternal lift Diagnosis [smartypance.com]

Cardiac Cirrhosis

Further distention of neck veins may be elicited with application of pressure over the right upper quadrant for as long as 1 minute (ie, hepatojugular reflux). [emedicine.medscape.com]

Congestive Heart Failure

The major criteria include: Paroxysmal nocturnal dyspnea Distention of neck veins Crepitations Cardiomegaly Acute pulmonary edema S3 gallop rhythm Increased venous pressure [symptoma.com]

Major criteria: · Paroxysmal nocturnal dyspnea · Neck vein distention · Rales · Radiographic cardiomegaly (increasing heart size on chest radiography) · Acute pulmonary edema [medicalcriteria.com]

Superior Vena Cava Syndrome

These include swelling of the face, arms, neck, and chest, distention of veins in the neck, and sometimes shortness of breath and a cough. [verywell.com]

[…] in the neck and distended veins in the upper chest and arms Upper limb edema Lightheadedness Cough Edema (swelling) of the neck, called the collar of Stokes Pemberton's signSuperior [en.wikipedia.org]

arm swelling, neck venous distention, cyanosis, plethora). [clinicaladvisor.com]

Restrictive Cardiomyopathy

The distention of neck veins will be prominent and have a rapid "y" descent. [symptoma.com]

Physical examination detects a quiet precordium, a low-volume and rapid carotid pulse, pulmonary crackles, and pronounced neck vein distention with a rapid y descent (see [merckmanuals.com]

Cardiac Tamponade

[…] has multiple potential causes in trauma patients, muffled heart tones can be difficult to assess during a noisy trauma resuscitation, and neck vein distention can be absent [merckmanuals.com]

Increased JVP in cardiac tamponade In cardiac tamponade, the heart is strangulated and blood will pool behind, this will raise JVP leads to distension of the neck veins, so [drnajeeblectures.com]

In addition, tension pneumothorax also should be considered in patients with hypotension and neck vein distention, although this disorder typically causes markedly decreased [merckmanuals.com]

Acute Cor Pulmonale

Findings include peripheral edema, neck vein distention, hepatomegaly, and a parasternal lift. Diagnosis is clinical and by echocardiography. [msdmanuals.com]

Pulmonary Edema

Signs of right ventricular (RV) failure (eg, neck vein distention, peripheral edema) may be present. [merckmanuals.com]

If right heart failure exists, there may be swelling of the feet, ankles, and legs as well as jugular venous distention (a prominence of the veins in the neck associated with [emedicinehealth.com]

Pericardial Effusion

distention (enlargement of the neck veins due to increased pressure in the heart) Pulsus paradoxus (marked decrease in pulse and blood pressure during inhalation) Diagnostic [jamanetwork.com]

Distention of neck veins with a rise in venous pressure during inspiration (Kussmaul sign) is present; it is absent in tamponade. [merckmanuals.com]

On physical examination classical signs include neck vein distention with elevated jugular venous pressure at bedside examination, pulsus paradoxus, and diminished heart sounds [eurheartj.oxfordjournals.org]

Dilated Cardiomyopathy

Right ventricular failure causes peripheral edema and neck vein distention. [merckmanuals.com]

Chronic Right-Sided Congestive Heart Failure

Check jugular vein distention, it is a sign of right sided heart failure resulting from severe pulmonary congestion. [medictests.com]

vein distention A decrease in vital capacity by one third the maximal value recorded Rales Pleural effusion Acute pulmonary edema Tachycardia (rate of 120 bpm) Hepatojugular [emedicine.medscape.com]

Physical exam – Inspect face and neck : for pursed lip breathing (an effort to pressurize the lungs) and accessory muscle use (muscles will exhaust soon.) [medictests.com]

Pulmonary Embolism

On the neck, inspect for jugular vein distention. [emsworld.com]

Ischemic Cardiomyopathy

Signs and tests include: hepatomegaly; "crackles" in the lungs (heard with a stethoscope); extra heart sounds; and elevated pressure in the neck vein. [symptoma.com]

[…] heart failure are: dyspnea following activity or after lying down; abrupt awakening from sleep due to dyspnea; cough; anorexia; edema of ankles and feet (adults); abdominal distention [symptoma.com]

Tension Pneumothorax

As intrathoracic pressure increases, patients develop hypotension, tracheal deviation, and neck vein distention. [merckmanuals.com]

vein distention IV. [fpnotebook.com]

Although cardiac tamponade also can cause hypotension, neck vein distention, and sometimes respiratory distress, tension pneumothorax can be differentiated clinically by its [merckmanuals.com]

Cardiomyopathy

ESC Heart Fail. 2018 Feb;5(1):197-200. doi: 10.1002/ehf2.12242. Epub 2018 Jan 13. Author information 1 Echocardiography Laboratory, Division of Pediatric Cardiology and Arrhythmology, Department of Pediatric Cardiology and Cardiac Surgery, Bambino Gesù Children Hospital-IRCSS, Rome, Italy. 2 Division of Cardiac[…] [ncbi.nlm.nih.gov]

Acute Massive Pulmonary Embolism

Abstract The aim of this study was to evaluate the contribution of clinical, angiographic and haemodynamic findings in predicting the cardiorespiratory efficacy of thrombolytic therapy in acute massive pulmonary embolism. Haemodynamic measurements and pulmonary angiography were performed before (H0) and 12 h[…] [ncbi.nlm.nih.gov]

Recurrent Pulmonary Embolism

Abstract Sixty-nine patients (37.5%) presented recurrent pulmonary embolic phenomena. Of these, 62 patients underwent interruption of the inferior vena cava by total surgical ligature (11 patients) or partial interruption by means of a transvenous Mobin-Uddin umbrella filter (51 patients). The mortality was 0.9% in[…] [ncbi.nlm.nih.gov]

Malignant Pericardial Effusion

OBJECTIVES: Pericardial effusion associated with malignancy is a life-threatening complication of late-stage disease. While simple drainage is effective in relieving the symptoms, reaccumulation of effusion may cause further symptomatic episodes, often during a period when overall patient management is focused on[…] [ncbi.nlm.nih.gov]

Primary Cardiomyopathy

From Systematic Investigation and Research on Interventions and Outcomes (SIRIO) MEDICINE Research Network, Collegium Medicum in Bydgoszcz, Dr Antoni Jurasz Memorial University Hospital, and Nicolaus Copernicus University, Bydgoszcz, Poland; University of Nicolaus Copernicus, Toruń, Poland; Catholic University, Rome,[…] [annals.org]

Right Ventricular Dilatation

Paradoxical interventricular septal motion with right ventricular dilatation has been considered the hallmark of right ventricular volume overload. We report a 43-year-old woman with severe pulmonary hypertension due to pulmonary veno-occlusive disease who exhibited these echocardiographic abnormalities. Right[…] [ncbi.nlm.nih.gov]

Tricuspid Valve Insufficiency

Tricuspid valve insufficiency, or tricuspid regurgitation, is a condition that involves a jet of blood pathologically leaking backward from the right ventricle into the right atrium during the systolic phase of the cardiac cycle. Tricuspid valve insufficiency is widely classified into two categories: the primary type,[…] [symptoma.com]

Tricuspid Stenosis

A 47-year-old man with history of familial cardiomyopathy and orthotopic heart transplant at the age of 34 years presented severe tricuspid stenosis (TS) with a mean transvalvular gradient of 10 mm Hg. The patient opted against tricuspid valve replacement and was offered percutaneous transcatheter tricuspid[…] [ncbi.nlm.nih.gov]

Hemopericardium

The case of a premature infant ventilated for hyaline membrane disease and complicated by recurrent tension pneumopericardium requiring surgical drainage is reported. The infant improved but developed a tension hemopericardium following the removal of the surgical drain. He had cardiac arrest, responded to[…] [ncbi.nlm.nih.gov]

Tricuspid Valve Disease

Echocardiography. 2015 May;32(5):856-9. doi: 10.1111/echo.12773. Epub 2014 Sep 23. Author information 1 King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia. Abstract Spectral Doppler recording of the hepatic veins (HV) provides a semiquantitative assessment of tricuspid regurgitation (TR) severity. It[…] [ncbi.nlm.nih.gov]

Alcoholic Cardiomyopathy

Abstract Owing to its acute psychotropic effects, ethanol is the most frequently consumed toxic agent worldwide. However, excessive alcohol intake results in an array of health, social, and economic consequences, which are related to its property as an addictive substance. It has been well established that exposure[…] [ncbi.nlm.nih.gov]

Chronic Constrictive Pericarditis

Abstract Echocardiographic characteristics of the interventricular septum (IVS) have been studied in eight patients with chronic constrictive pericarditis (CP). Values of septal thickening (ST) were clearly below normal in all cases. Interventricular septal systolic motion (IVSSM) was normal in four cases, hypokinetic[…] [ncbi.nlm.nih.gov]

Secondary Cardiomyopathy

S Glackin 1,2, P Mayne 2,3, D Kenny 4, CJ McMahon 4, D Cody 1 1 Department of Endocrinology, Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland 2 Children's University Hospital, Temple St, Dublin 1, Ireland 3 Department of Biochemistry, Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland 4 Department of[…] [imj.ie]

Right Ventricular Outflow Obstruction

Abstract Leiomyosarcomas are extremely rare primary cardiac tumors. We report a rapidly growing primary leiomyosarcoma of the right ventricle, which obstructed the right ventricular outflow tract within one month after symptom onset in a 68-year-old man. Two-dimensional echocardiography was useful in diagnosing[…] [ncbi.nlm.nih.gov]

Ebstein Malformation

2015 ICD-9-CM Diagnosis Code 746.2 Ebstein's anomaly 2015 Billable Thru Sept 30/2015 Non-Billable On/After Oct 1/2015 ICD-9-CM 746.2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 746.2 should only be used for claims with a date of service on or before September[…] [icd9data.com]

Valsalva Maneuver

A 70-year old man with a 15-year-history of chronic daily Valsalva maneuvers for left ear congestion presented with worsening vertigo and calvarial (occipitoparietal) and upper cervical hyperpneumatization. With continued frequent Valsalva maneuvers, subsequent studies demonstrated increased pneumatization with[…] [ncbi.nlm.nih.gov]