Possible Causes for increased jugular venous pressure Congestive Heart Failure Right heart failure is characterized by low output syndrome with increased jugular venous pressure, increased liver size and hypotension. [doi.org] 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] This includes serial assessment of weight, as well as estimates of jugular venous pressure and the presence of peripheral edema or orthopnea. 187 – 190 (Level of Evidence: [doi.org] 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] 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] 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] Cor Pulmonale jugular venous pressure) are often obscured by hyperinflation of the chest 6 which is present in a number of COPD patients. [doi.org] jugular venous pressure) are often obscured by hyperinflation of the chest6 which is present in a number of COPD patients. [heart.bmj.com] […] 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] 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] Pulmonary Edema CPE is caused by elevated pulmonary capillary hydrostatic pressure leading to transudation of fluid into the pulmonary interstitium and alveoli. Increased LA pressure increases pulmonary venous pressure and pressure in the lung microvasculature, resulting in pulmonary edema. Mechanism of CPE Pulmonary capillary blood[…] [emedicine.com] Cardiomyopathy Cardiomyopathy is disease in which the heart muscle becomes weakened, stretched, or has another structural problem. It often occurs when the heart cannot pump or function well. Most people with cardiomyopathy have heart failure. There are many types of cardiomyopathy, with different causes. Some of the more[…] [nlm.nih.gov] 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] 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] 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] 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] 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] 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] Cardiac Tamponade Kussmaul sign This was described by Adolph Kussmaul as a paradoxical increase in jugular venous distention and pressure during inspiration. [emedicine.medscape.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] Jugular enlargement – This vein engorges with the increasing jugular venous pressure. [symptoma.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] Malignant Pericardial Effusion 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] 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] Acute Myocarditis BACKGROUND: The aim of this study was to evaluate the diagnostic potential of a novel cardiovascular magnetic resonance (CMR) based multiparametric imaging approach in suspected myocarditis and to compare it to traditional Lake Louise criteria (LLC). METHODS: CMR data from 67 patients with suspected acute[…] [ncbi.nlm.nih.gov] 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] Large Ventricular Septal Defect Abstract The use of Doppler color flow imaging and axial contrast angiography in the preoperative detection of additional ventricular septal defects (in the setting of a known large defect) were compared in a prospective fashion. One hundred seventy-nine infants with two ventricles (each of at least normal size)[…] [ncbi.nlm.nih.gov] Ventricular Septal Defect The medical and surgical management of patients with multiple muscular ventricular septal defects (VSDs) is associated with morbidity and mortality. Three children with Swiss cheese VSDs were treated with transcatheter occlusion of their multiple defects using the Amplatzer muscular VSD occluder. Seventeen defects[…] [ncbi.nlm.nih.gov] 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] 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] Chronic Constrictive Pericarditis 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] T-Cell Lymphoblastic Lymphoma Exp Mol Pathol. 2015 Oct;99(2):297-302. doi: 10.1016/j.yexmp.2015.07.012. Epub 2015 Jul 29. Author information 1 Department of Pathology, Shanxi Cancer Hospital and Shanxi Medical University, Taiyuan, Shanxi 030013, China. 2 Shanxi Medical University, Taiyuan, Shanxi, 030013, China. 3 Department of Pathology, Shanxi Cancer[…] [ncbi.nlm.nih.gov] 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] Pericardial Neoplasm 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] Hereditary ATTR Amyloidosis History The subtype of transthyretin (TTR) protein mutation, its tissue distribution, and the amount of amyloid deposition largely determine the clinical manifestations of TTR-related amyloidosis (ATTR). The key characteristic of ATTR that should raise clinical suspicion for this disorder remains the reliable[…] [emedicine.medscape.com]
