Hepatojugular Reflux: Causes & Reasons

Possible Causes for Hepatojugular Reflux

Chronic Right-Sided Congestive Heart Failure

The fluid status is checked by jugular venous pressure, which usually gets accentuated by the hepatojugular reflux. [newhealthadvisor.com]

Marked hepatojugular reflux due to hepatic congestion. Hepatomegaly ± liver pulsatility if there is significant associated tricuspid regurgitation. [patient.info]

Assess the liver for hepatojugular reflux. Measure the urinary output carefully to establish a baseline against which to assess the effectiveness of diuretic therapy. [nurseslabs.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]

Heart failure (heart cirrhosis): oedema, dyspnoea, fatigue, anorexia, dilated jugulars (jugular ingurgitation), coughing, hepatojugular reflux, heart murmurs and an enlarged [mediktor.com]

Hepatojugular reflux is usually present and can help in differentiating hepatic congestion from Budd-Chiari syndrome. [ncbi.nlm.nih.gov]

Congestive Heart Failure

reflux · Weight loss > 4.5 kg in 5 days in response to treatment Minor criteria: · Bilateral ankle edema · Nocturnal cough · Dyspnea on ordinary exertion · Hepatomegaly · [web.archive.org]

reflux The minor criteria include: Pedal edema Night cough Dyspnea on exertion Hepatomegaly Pleural effusion Tachycardia Vital capacity reduced by at least one third of normal [symptoma.com]

Radiographic cardiomegaly (increasing heart size on chest radiography) · Acute pulmonary edema · S3 gallop · Increased central venous pressure (> 16 cm H2O at right atrium) · Hepatojugular [web.archive.org]

Cor Pulmonale

Increased right atrial pressures may lead to dependent edema, hepatojugular reflux, and ascites. [javed-abbas.tripod.com]

reflux, decreased breathing noises, rales, and universal rhonchus, multiple bone malformations of the metacarpophalangeal and interphalangeal joints, with significant ulnar [elsevier.es]

Tender hepatomegaly,Hepatojugular reflux, lower extremity edema, ascites 21. signs 22. [slideshare.net]

Chronic Constrictive Pericarditis

Hepatojugular reflux may be observed. Fluid (and hence signs) usually develop slowly with cardiac tamponade developing late as a complication. [patient.info]

Patients present with findings of right-sided heart failure, including peripheral edema, jugular venous distension, hepatojugular reflux, hepatomegaly, and ascites. [cancertherapyadvisor.com]

Pericardial Effusion

reflux Tachypnea Decreased breath sounds Ewart sign: Dullness to percussion beneath the angle of left scapula Hepatosplenomegaly Weakened peripheral pulses, edema, and cyanosis [emedicine.medscape.com]

[…] following: Classic Beck triad of pericardial tamponade: Hypotension, muffled heart sounds, jugular venous distention Pulsus paradoxus Pericardial friction rub Tachycardia Hepatojugular [emedicine.medscape.com]

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

Twenty-six patients have undergone inferior vena caval interruption with a Greenfield filter. One patient (3.8%) developed a fatal, recurrent pulmonary embolism. Postmortem examination documented the presence of thrombus within the filter, proximal extension of thrombus beyond the filter apex, and fresh pulmonary[…] [ncbi.nlm.nih.gov]

Cardiogenic Shock

Cardiogenic shock and cardiac arrest are life-threatening emergencies that result in high mortality rates. Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) via peripheral cannulation is an option for patients who do not respond to conventional therapies. Left ventricular (LV) distention is a major[…] [ncbi.nlm.nih.gov]

Cardiac Tamponade

The authors report a case of left ventricular perforation and cardiac tamponade in a patient undergoing endovascular aortic and mesenteric stent grafting. During the procedure, the anesthetist noticed a sudden increase in central venous pressure and a decrease in blood pressure. Cardiac tamponade was[…] [ncbi.nlm.nih.gov]

Heart Disease

BMC Pediatr. 2017 Mar 16;17(1):79. doi: 10.1186/s12887-017-0839-3. Author information 1 University Medical Center Groningen, Beatrix Children's Hospital, Division of Neonatology, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands. m.j.mebius01@umcg.nl. 2 University Medical Center Groningen, Center for[…] [ncbi.nlm.nih.gov]

Tricuspid Valve Insufficiency

This content requires an NEJM.org account. Create a free account now. Already have an account? Sign in. Images in Clinical Medicine Habib Ur Rehman, M.B., B.S. A 33-year-old woman who had received a diagnosis of tricuspid valve endocarditis caused by MRSA was evaluated for replacement of the tricuspid valve. Videos[…] [doi.org]

Passive Congestion of the Liver

Reflux (see Hepatojugular Reflux, Hepatojugular Reflux ) Epidemiology : usually present Clinical : useful to differentiate passive hepatic congestion from Budd-Chiari Syndrome [mdnxs.com]

reflux CT Findings • Early retrograde enhancement of dilated inferior vena cava (IVC) and hepatic veins (HVs) Due to contrast reflux from right atrium into IVC • Heterogeneous [radiologykey.com]

[…] a right atrial pressure tracing) Clinical : loss of hepatic pulsatility in a patient with long-standing congestive hepatopathy suggests progression to cardiac cirrhosis Hepatojugular [mdnxs.com]

High-Output Heart Failure

CPR : cardiopulmonary resuscitation 심폐소생술 humidifier lung (E)가습기허파, 가습기폐 hepatojugular reflux (E)간경정맥역류 high-output heart failure (E)고박출심부전 high-frequence CPR (E)고빈도심폐소생술 [kacpr.org]

If present, hepatojugular reflux increases the likelihood of heart failure moderately; absence of this finding does little to reduce the likelihood of heart failure. 12, 17 [aafp.org]

Physical examination in states of right heart failure may reveal elevated jugular venous pressure including hepatojugular reflux, lower extremity pitting edema and ascites [healio.com]

Mediastinal Rhabdomyosarcoma

Physical examination showed purplish lips, distension of the jugular veins, positive hepatojugular reflux, and a visibly enlarged right hemithorax. [pubs.rsna.org]

Systolic Heart Failure

Physical examination in states of right heart failure may reveal elevated jugular venous pressure including hepatojugular reflux, lower extremity pitting edema and ascites [healio.com]

reflux : jugular venous congestion induced by exerting manual pressure over the patient's liver → ↑ volume load on the right side of the heart → right heart is unable to [amboss.com]

reflux Cardiomegaly on X-ray of the thorax And Objective evidence of a structural or functional abnormality of the heart at rest Abnormal echocardiogram Abnormal pump function [textbookofcardiology.org]

Right-Sided Heart Failure

Marked hepatojugular reflux due to hepatic congestion. Hepatomegaly ± liver pulsatility if there is significant associated tricuspid regurgitation. [patient.info]

Assess the liver for hepatojugular reflux. Measure the urinary output carefully to establish a baseline against which to assess the effectiveness of diuretic therapy. [nurseslabs.com]

The hepatojugular reflux occurs in patients with elevated left-sided filling pressures and reflects elevated capillary wedge pressure and left-sided heart failure. [emedicine.medscape.com]

Heart Failure

reflux · Weight loss > 4.5 kg in 5 days in response to treatment Minor criteria: · Bilateral ankle edema · Nocturnal cough · Dyspnea on ordinary exertion · Hepatomegaly · [web.archive.org]

reflux, hepatomegaly Displaced (and broadened) apical movement, presence of a 3rd heart sound Pulmonary rales, which persist after coughing Tachycardia ( heart rate > 90- [flexikon.doccheck.com]

Mitral Papillary Muscle Rupture

Jugular venous distention and hepatojugular reflux are present. The abdomen is soft, non-tender and non-distended. The neurologic examination reveals no abnormalities. [usmleforum.com]

Extrapulmonary Alveolar Hypoventilation

Tachycardia Anemia, hypoxia, heart failure, hyperthyroidism S 3 Congestive heart failure Murmur Valvular dysfunction Hepatomegaly, hepatojugular reflux, edema Congestive heart [aafp.org]

Ayerza Syndrome

In the cardiovascular examination there was jugular venous distension, hepatomegaly, hepatojugular reflux, ascites and oedema of lower limbs. [err.ersjournals.com]

Signs of systemic congestion resulting from right-sided heart failure include jugular venous distension, ascites, and hepatojugular reflux. [10] [11] [14] Evidence of tricuspid [wikivisually.com]

Congenital Pulmonary Valve Stenosis

Physical Examination Findings of right heart failure can be seen upon physical examination including elevated jugular venous pressure, hepatojugular reflux and lower extremity [healio.com]

Right-Sided Endocarditis

Her physical examination revealed jugular veins distension with a hepatojugular reflux and a mild painful hepatomegaly. [medical-case-reports.imedpub.com]

Tricuspid Valve Disease

Hepatojugular reflux, pulsatile liver, and signs of hepatic dysfunction also may be present. [accesssurgery.mhmedical.com]

Pulmonary Valve Disease

Physical Examination Findings of right heart failure can be seen upon physical examination including elevated jugular venous pressure, hepatojugular reflux and lower extremity [healio.com]

Acute Pleuropericarditis

reflux Peripheral edema ; or anasarca, ascites with abdominal discomfort Symptoms of reduced cardiac output ( forward failure ) Fatigue, dyspnea on exertion Tachycardia Pericardial [amboss.com]

reflux, weakened peripheral pulses, peripheral oedema and cyanosis. [racgp.org.au]

[…] overload ( backward failure ) Jugular vein distention, ↑ jugular venous pressure Kussmaul sign Hepatic vein congestion → hepatomegaly, painful liver capsule distention, hepatojugular [amboss.com]

Post-Pump Syndrome

Reflux Hypereosinophilic Syndrome Hypertension Hypertrophic Cardiomyopathy Hypotension Hypovolemic Shock Idiopathic Systemic Capillary Leak Syndrome (Clarkson’s Syndrome) [mdnxs.com]

Electrocardiogram (EKG) Elevated Serum Troponin Endocarditis First Degree Atrioventricular Block (First Degree Heart Block) Heart Murmurs Hemodynamics Hemorrhagic Shock Hepatojugular [mdnxs.com]

Diastolic Heart Failure

reflux : jugular venous congestion induced by exerting manual pressure over the patient's liver → ↑ volume load on the right side of the heart → right heart is unable to [amboss.com]

The signs and symptoms with the greatest specificity (0.92-0.99) but poor sensitivity (0.13-0.39) are a third heart sound, hepatojugular reflux, and elevated jugular venous [reliasmedia.com]

reflux, ascites). [medintensiva.org]

Pericardial Disorder

Hepatojugular reflux may be observed. Fluid (and hence signs) usually develop slowly with cardiac tamponade developing late as a complication. [patient.info]

Phlebosclerosis

reflux Incompetent perforator Increased central venous pressure Increased collateral circulation Increased vascular resistance Increased venous pressure Increased venous [icd9data.com]

[…] graft Fibrosis of genitourinary device, implant AND/OR graft Fibrosis of internal orthopedic device, implant AND/OR graft Genitourinary device, implant or graft fibrosis Hepatojugular [icd9data.com]