Increased Jugular Venous Pressure: Causes & Reasons

Possible Causes for Increased Jugular Venous Pressure

Kussmaul sign This was described by Adolph Kussmaul as a paradoxical increase in jugular venous distention and pressure during inspiration. [emedicine.medscape.com]

Jugular enlargement – This vein engorges with the increasing jugular venous pressure. [symptoma.com]

Acute tamponade leads to increased jugular venous pressure (JVP) - Beck's triad: jugular venous distension, hypotension and diminished heart sounds - rarely seen. [patient.info]

Cor Pulmonale

[…] and other neck and facial veins Increased jugular venous pressure Hepatomegaly Cyanosis Abnormal heart sounds Physical indicators of cor pulmonale on exam: Pulmonary hypertension [symptoma.com]

Jugular venous pressures are always increased. Cardiac palpation may reveal a right ventricular heave. [javed-abbas.tripod.com]

jugular venous pressure) are often obscured by hyperinflation of the chest 6 which is present in a number of COPD patients. [doi.org]

High-Output Heart Failure

Physical findings are increased jugular venous pressure, tachycardia usually with a third heart sound, bilateral bibasilar crackles and a wide pulse pressure. [omicsonline.org]

Patients may present with the usual signs of high-output heart failure including tachycardia, elevated pulse pressure, hyperkinetic precordium, and jugular venous distension [ncbi.nlm.nih.gov]

[…] central venous pressure (CVP) Jugular venous distention: visible jugular venous congestion, also seen in biventricular heart failure Hepatojugular reflux: jugular venous [amboss.com]

Pericardial Effusion

In fact, drainage of fluid lowered the blood pressure in these patients. 3. Increased jugular venous pressure- which decreases during inspiration. 4. [iame.com]

jugular venous pressure, and a small and quiet heart. [eurheartj.oxfordjournals.org]

Physical Examination Findings Increased ventricular filling pressures cause jugular venous distention and Kussmaul's sign (paradoxical rise in jugular venous pressure on inspiration [clevelandclinicmeded.com]

Restrictive Cardiomyopathy

Physical examination is notable for elevated jugular venous pressure, often with Kussmaul's sign (paradoxical increase in jugular venous pressure with inspiration). [clinicaladvisor.com]

pressures Jugular venous pressure may be increased Left ventricular impulse is usually normal and palpable Third heart sound may be audible due to rapid ventricular filling [pathologyoutlines.com]

In all but mild cases of RCM, jugular venous pressure is increased. The left ventricular impulse is usually normal and palpable. [circ.ahajournals.org]

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]

A paradoxical increase in the jugular venous pressure during inspiration (Kussmaul sign) is indicative of right-sided heart failure and can be seen in RV failure, restrictive [merckmanuals.com]

Normally, jugular venous pressure declines with respiration; however, it increases in patients with heart failure, a finding known as the Kussmaul sign (also found in constrictive [emedicine.medscape.com]

Pulmonary Embolism

Patients with concomitant right heart failure may present with increased jugular venous pressure and a right-sided S3. [journals.lww.com]

In this case, the elevated jugular venous pressure suggests a right ventricle that has reached its preload reserve, and further increases in the impedance to RV ejection may [circ.ahajournals.org]

[…] ventricular wall stress as a result of dilatation of the thin RV free wall and increased myocardial oxygen demand. [circ.ahajournals.org]

Congestive Heart Failure

A paradoxical increase in the jugular venous pressure during inspiration (Kussmaul sign) is indicative of right-sided heart failure and can occur in RV failure, restrictive [msdmanuals.com]

Right heart failure is characterized by low output syndrome with increased jugular venous pressure, increased liver size and hypotension. [doi.org]

Jugular venous pressure is frequently assessed as a marker of fluid status, which can be accentuated by eliciting hepatojugular reflux. [en.wikipedia.org]

Acute Cor Pulmonale

jugular venous pressure) are often obscured by hyperinflation of the chest6 which is present in a number of COPD patients. [ncbi.nlm.nih.gov]

CLINICAL ASSESSMENT OF COR PULMONALE: PLACE OF NON-INVASIVE METHODS The clinical signs of cor pulmonale are relatively insensitive6 and some of them (signs related to an increased [ncbi.nlm.nih.gov]

Acute Myocardial Infarction

RV dysfunction should be considered in any patient who has inferoposterior infarction and elevated jugular venous pressure with hypotension or shock. [msdmanuals.com]

RV infarction complicating LV infarction significantly increases mortality risk. [msdmanuals.com]

Myocardial Infarction

RV dysfunction should be considered in any patient who has inferoposterior infarction and elevated jugular venous pressure with hypotension or shock. [msdmanuals.com]

Jugular venous pressure is frequently assessed as a marker of fluid status, which can be accentuated by eliciting hepatojugular reflux. [en.wikipedia.org]

RV infarction complicating LV infarction significantly increases mortality risk. [msdmanuals.com]

Atrial Fibrillation

Head and neck Examination of the head and neck may reveal exophthalmos, thyromegaly, elevated jugular venous pressures, or cyanosis. [emedicine.medscape.com]

Carotid artery bruits suggest peripheral arterial disease and increase the likelihood of comorbid coronary artery disease. [emedicine.medscape.com]

Idiopathic Pulmonary Fibrosis

As right ventricular hypertrophy ensues, a right ventricular heave may be palpated at the lower left sternal border and increased right atrial pressure may cause elevation [emedicine.medscape.com]

[…] of the jugular venous pressure. [5] Complications The following are complications that can be seen in patients with idiopathic pulmonary fibrosis (IPF): Pulmonary hypertension [emedicine.medscape.com]

Right Atrial Myxoma

Common symptoms associated with the failing right heart are prominent jugular a waves, increases in venous pressure, abdominal protuberance due to ascites and hepatomegaly [atlasgeneticsoncology.org]

Malignant Pericardial Effusion

Chronic Constrictive Pericarditis

Tricuspid Valve Insufficiency

[…] compliance and signs of right-sided failure appear: jugular venous distension, hepatic congestion, ascites, and peripheral edema. [ispub.com]

Initially, the right heart compensates for these forces with its intrinsic compliance but, with time and increased severity, right atrial pressures overwhelm any compensatory [ispub.com]

Tricuspid Stenosis

The jugular venous pressure is usually increased in pulmonary valve regurgitation. [textbookofcardiology.org]

Tricuspid Valve Disease

[…] compliance and signs of right-sided failure appear: jugular venous distension, hepatic congestion, ascites, and peripheral edema. [ispub.com]

Initially, the right heart compensates for these forces with its intrinsic compliance but, with time and increased severity, right atrial pressures overwhelm any compensatory [ispub.com]

Pericardial Neoplasm

Superior Vena Cava Syndrome

Zoom Symptoms The clinical signs are related to the increase in venous pressure upstream from the SVC obstacle and the development of venous shunts ( Figure 13 ). [em-consulte.com]

Suprasternal anastomoses via the jugular and thyroid veins. [em-consulte.com]

Pulmonary Edema

Pulmonary edema is a condition associated with increased loss of fluid from the pulmonary capillaries into the pulmonary interstitium and alveoli. Pulmonary edema of cardiac origin most commonly results from an increase in pulmonary capillary pressure caused by an elevation of left atrial pressure ( pulmonary capillary[…] [cvphysiology.com]

Cardiomyopathy

Cardiomyopathy is a complicated disease of the heart muscle that compromises the muscle's "contractility" for efficiently delivering blood to the body. There are a number of possible causes, ranging from bacterial and viral infections to metabolic disorders, drugs and toxins, and connective tissue disorders,[…] [aopa.org]

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]

Right Ventricular Disorder

Large V waves in the jugular veins are usually indicative of significant tricuspid regurgitation which is often present in RV failure. [merckmanuals.com]

[…] and visible elevation of the jugular venous pressure, sometimes with large a or v waves that are visible even when the patient is seated or standing (see Figure: Normal jugular [merckmanuals.com]

Acute Myocarditis

AIM: Cardiac magnetic resonance (CMR) can visualize inflammatory tissue changes in acute myocarditis. Several quantitative image-derived parameters have been described to enhance the diagnostic value of CMR, but no direct comparison of these techniques is available. METHODS AND RESULTS: A total of 34 patients with[…] [ncbi.nlm.nih.gov]

Ventricular Septal Defect

(rollover to compare with normal) What Is It? A Ventricular Septal Defect (VSD) is a hole in the ventricular septum - the muscular wall that separates the right and left ventricles, or main pumping chambers, of the heart. This opening allows the movement, or "shunting," of blood between the ventricles. Most[…] [pted.org]

T-Cell Lymphoblastic Lymphoma

A 3-year-old girl presenting with a huge mediastinal tumor and massive pleural effusion, was diagnosed with stage III γδ T-cell lymphoblastic lymphoma (γδ T-LBL) by flow cytometry of effusion cells. Four courses of chemotherapy achieved complete remission, and 5/6 HLA allele-matched cord blood transplantation was[…] [ncbi.nlm.nih.gov]

Basilar Artery Thrombosis with Occlusion of a Precerebral Artery

[…] systemic increased', 'venous pressure abnormal', 'venous pressure decreased', 'venous pressure increased', 'venous pressure jugular abnormal', 'venous pressure jugular decreased [definedterm.com]

', 'venous pressure jugular increased', 'ventricular internal diameter abnormal' [definedterm.com]

', 'troponin i increased', 'troponin t increased', 'troponin increased', 'vascular resistance pulmonary decreased', 'vascular resistance systemic decreased', 'vascular resistance [definedterm.com]