Increased Jugular Venous Pressure & Pulmonary Artery Pressure Increased & Tachycardia: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Increased Jugular Venous Pressure, Pulmonary Artery Pressure Increased, Tachycardia,

Negated

None

Unsure

None

Possible Causes

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]

75 ARDS patients submitted to protective ventilation revealed the persistence of a 25% incidence of ACP, resulting in detrimental hemodynamic consequences associated with tachycardia [ncbi.nlm.nih.gov]

Elevated pulmonary artery pressure increases right ventricular workload with resulting myocardial hypertrophy and diastolic dysfunction ultimately leading to diastolic right-heart [acphospitalist.org]

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Pulmonary Edema

In both procedures, patients developed severe hypertension and tachycardia, with subsequent oxygen desaturations with noted pulmonary edema. [ncbi.nlm.nih.gov]

Systolic pulmonary artery pressure increased at high altitude, but normalised with sildenafil. [doi.org]

Results for the categorical variables were as follows: hyperglycemia (OR 10.25, 95% CI 4.82-21.76), tachycardia (OR 6.21, 95% CI 3.02-12.75), hypertension (OR 3.79, 95% CI [ncbi.nlm.nih.gov]

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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]

Electrocardiogram • Old MI or recent MI • Arrhythmia • Some forms of Cardiomyopathy are tachycardia related • LBBB may help in management 28. [slideshare.net]

pulmonary artery pressure Increased preload ; : ventricular volume overload Consequences of systolic and diastolic dysfunction Forward failure : reduced cardiac output poor [amboss.com]

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Pulmonary Embolism

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

Neurological examination returned to base line status but sinus tachycardia and low saturation value on room air were continuing. [ncbi.nlm.nih.gov]

Echocardiography revealed a large thrombus trapped in a PFO with increased pulmonary artery pressure, which is a very rare and critical condition. [ncbi.nlm.nih.gov]

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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]

Hyperthyroidism causes tachycardia-mediated cardiomyopathy and thus high output heart failure and is often accompanied by atrial fibrillation. [symptoma.com]

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]

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Congestive Heart Failure

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

ECG and telemetry revealed relatively slow supraventricular tachycardia, which did not trigger the alert, and catheter ablation successfully controlled the heart failure. [ncbi.nlm.nih.gov]

[…] edema 3:55 heart failure - liver congestion (AST, ALT increase, nutmeg liver) 4:12 increased pulmonary artery pressure 4:23 heart failure - pedal edema 5:30 systole 5:38 [youtube.com]

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Atrial Fibrillation

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

Circumferential pulmonary vein isolation and circumferential SVC isolation resulted in termination of tachycardia. [ncbi.nlm.nih.gov]

[…] and arteries increases. [medicinenet.com]

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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]

Bidirectional ventricular tachycardia (BVT) is a rare ventricular tachyarrhythmia. [ncbi.nlm.nih.gov]

In two patients a reduction in posterior wall velocity was associated with an increased pulmonary artery pressure and as the pressure returned towards normal the posterior [ncbi.nlm.nih.gov]

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Acute Myocardial Infarction

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

Bidirectional ventricular tachycardia (BVT) is a rare ventricular tachyarrhythmia. [ncbi.nlm.nih.gov]

When the left ventricular end-diastolic pressure, or LVEDP, increases during myocardial ischemia, that pressure can be transmitted backward to the pulmonary veins and into [healio.com]

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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]

On admission the mare was in poor body condition, with severe inspiratory and expiratory dyspnoea associated with severe hypoxaemia and marked tachycardia. [onlinelibrary.wiley.com]

Indeed, from a pathophysiologic and clinical standpoint, any disease in which pulmonary arterial pressures increase sufficiently to affect right ventricular function results [accessmedicine.mhmedical.com]

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Cardiac Tamponade

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

Despite compensatory tachycardia, the decrease in cardiac filling leads to a fall in cardiac output and to arterial hypoperfusion of vital organs. [doi.org]

[…] in intrapericardial pressure, preventing diastolic filling of the ventricles (cardiac tamponade causes an increase in both central venous pressure and pulmonary artery occlusion [patient.info]

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Ventricular Septal Defect

[…] dexmedetomidine (DEX) infusion before surgical incision and cardiopulmonary bypass (CPB) versus initiation after CPB had an impact on the incidence of junctional ectopic tachycardia [ncbi.nlm.nih.gov]

As in the case of the ASD, the heart can dilate, the muscle can become weak, and the pressures in the pulmonary arteries can increase (pulmonary hypertension) due to the increase [heartpoint.com]

Complications included transient ventricular tachycardia in three patients, device embolization in one patient, and tracheal bleeding in one patient. [ncbi.nlm.nih.gov]

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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]

[…] report the case of a young female with myofibrillar myopathy and deteriorating heart failure due to restrictive cardiomyopathy and recurrent atrial fibrillation and atrial tachycardias [ncbi.nlm.nih.gov]

During sinus rhythm of 70 bpm, right heart catheterization demonstrated again increased pulmonary artery pressures (PAP 71/29/47 mmHg), pulmonary capillary wedge pressures [escardio.org]

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Acute Massive Pulmonary Embolism

Atrial fibrillation, atrial flutter and atrial tachycardia are commonly described supraventricular tachycardias in association with PE; however, there is scant description [pulsus.com]

artery pressures, increases in arterial oxygenation, and improvement in hemodynamics [ 38 ]. 4.1. [intechopen.com]

artery pressure and resistance with a concomitant increase in cardiac output. [jstage.jst.go.jp]

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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]

427.1 Paroxysmal ventricular tachycardia 427.2 Paroxysmal tachycardia, unspecified 427.3 Atrial fibrillation & flutter 427.4 Ventricular fibrillation & flutter 427.5 Cardiac [csh.org.tw]

[AV] paroxysmal tachycardia Junctional paroxysmal tachycardia Nodal paroxysmal tachycardia I47.2 Ventricular tachycardia I47. 9 Paroxysmal tachycardia, unspecified Bouveret [en.wikisource.org]

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Amniotic Fluid Embolism

Symptoms of pulmonary embolism include tachycardia, tachypnea, and shortness of breath, all of which are common complaints in pregnancy. [ncbi.nlm.nih.gov]

Pulmonary artery catheterization revealed moderately increased pulmonary capillary wedge pressure. [ncbi.nlm.nih.gov]

The acute onset of disease with cardiorespiratory failure with hypotension, tachycardia, cyanosis, respiratory disturbances and loss of consciousness, suggested at first a [ncbi.nlm.nih.gov]

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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]

It is concluded that moderate tachycardia improves the hemodynamic profile of patients with constrictive pericarditis. [ncbi.nlm.nih.gov]

(30 mmHg), mean pulmonary arterial pressure (33 mmHg), right ventricular diastolic pressure (30 mmHg), and left ventricular diastolic pressure (30 mmHg) were found. [hindawi.com]

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Pulmonary Arterial Hypertension

RV stiffness) and V waves (due to tricuspid regurgitation [TR]); Kussmaul’s sign (increased jugular venous pressure with inspiration, due to a noncompliant RV or significant [content.onlinejacc.org]

Here, we present the case of an 11-year-old boy with pulmonary arterial hypertension (PAH) and junctional ectopic tachycardia associated with CAEBV. [ncbi.nlm.nih.gov]

Pulmonary hypertension occurs when the mean arterial blood pressure in the pulmonary artery increases above 25 mmHg during rest (normal pressure: Pulmonary hypertension means [aoporphan.com]

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High Altitude Pulmonary Edema

Heart sounds and jugular venous pressure were normal. [thorax.bmj.com]

Examination at admission revealed a febrile (38 degrees C) patient with tachycardia (104/min), SaO2 was 82% (on supplemental oxygen), chest examination revealed bilateral [ncbi.nlm.nih.gov]

At high altitude, systolic pulmonary artery pressure increased less in participants receiving dexamethasone (16 mm Hg [95% CI, 9 to 23 mm Hg]) and tadalafil (13 mm Hg [CI, [ncbi.nlm.nih.gov]

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Right Ventricular Outflow Obstruction

A 71-year-old woman, who had had an acute infarction 10 years before, was admitted for sustained ventricular tachycardia. [ncbi.nlm.nih.gov]

Inappropriate exercise-induced increase in pulmonary artery pressure in patients with systemic sclerosis. Heart. 2011;97(2):112–7. pmid:20889989. [journals.plos.org]

[…] child who underwent pacemaker implantation with epicardial ventricular lead placement in infancy as an adjunct to antiarrhythmic therapy for congenital junctional ectopic tachycardia [ncbi.nlm.nih.gov]

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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]

Abstract A 65-year-old woman presented with shortness of breath, stenocardia, and tachycardia. She underwent several steps of examination. [ncbi.nlm.nih.gov]

General symptoms may also be present, such as: Cough Pulmonary edema, as blood backs up into the pulmonary artery, after increased pressures in the left atrium and atrial [en.wikipedia.org]

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Right-Sided Heart Failure

Clinical examination may reveal tachycardia, increased jugular venous pressure with sometimes visible distension, while a heart murmur may be observed during auscultation. [symptoma.com]

A 44-year-old patient, with personal history of AIDS, was referred to our emergency unit with tachycardia and moderate signs of right-sided heart failure. [ncbi.nlm.nih.gov]

High blood pressure in the pulmonary arteries increases the workload of the right ventricle. Over time, this causes the right ventricle to fail. [medicalrecords.com]

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Cardiac Amyloidosis

Pulmonary hypertension increased jugular venous pressure, and consequent hepatomegaly may be a common finding. [symptoma.com]

To our knowledge, the combination of long QT interval and polymorphic ventricular tachycardia has not been previously reported in association with amyloid heart disease. [ncbi.nlm.nih.gov]

(11 mmHg); elevated pulmonary artery systolic pressure (36 mmHg); and elevated pulmonary capillary wedge pressure (17 mmHg). [cathlabdigest.com]

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Recurrent Pulmonary Embolism

[…] asymptomatic SOB pleuritic chest pain apprehension cough haemotypsis leg pain collapse massive PE acute cardiovascular collapse Examination pale, mottled skin tachypnoea tachycardia [lifeinthefastlane.com]

Pulmonary arterial pressure and central venous pressure were increased at 63/33 mmHg and 40 mmHg, respectively. ETco 2 was not recordable. [anesthesiology.pubs.asahq.org]

Common signs were tachypnea (54%) and tachycardia (24%). [ncbi.nlm.nih.gov]

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Heart Failure

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

We describe the novel use of bilateral cardiac sympathectomy in a woman with end-stage heart failure caused by ventricular tachycardia refractory to standard medical therapy [ncbi.nlm.nih.gov]

The CardioMEMS System detected a gradual but steady increase in the pulmonary artery pressures while the patient was completely asymptomatic. [ncbi.nlm.nih.gov]

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Large Ventricular Septal Defect

Common presenting signs and symptoms include: Tachypnea & increased work of breathing Tachycardia Poor weight gain / FTT Diaphoresis Pulmonary rales if heart failure marked [pedclerk.bsd.uchicago.edu]

Only the high dose of isoproterenol lowered systemic and pulmonary arterial pressure. [ncbi.nlm.nih.gov]

Drugs such as digoxin may help to prevent irregular heartbeats and excessively rapid heartbeats (tachycardia). [rarediseases.org]

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Venous Air Embolism

The central venous pressure may increase as a consequence of right heart failure, resulting in jugular venous distention. [mhmedical.com]

These signs included a decrease in arterial haemoglobin oxygen saturation as measured by pulse oximetry, decreased end-tidal carbon dioxide level and tachycardia. [ncbi.nlm.nih.gov]

artery (PA) pressures. [laparoscopyhospital.com]

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Hypovolemia

Watch, too, for signs of fluid overload (moist respirations, respiratory distress, and increased central venous pressure and jugular venous distension), which could easily [163.178.103.176]

Class I hemorrhage (loss of 0-15%) In the absence of complications, only minimal tachycardia is seen. [emedicine.medscape.com]

Vasoconstriction blood vessels increase blood volume ….. increase arterial pressure. CVP Normal 13. [slideshare.net]

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S3 Gallop

jugular venous pressure, rales, hepatomegaly, S3 gallop, blood pressure, with a measured blood volume. [freethesaurus.com]

If the heart rate is also very fast ( tachycardia ), it can become difficult to distinguish between S 3 and S 4 thus producing a single sound called a summation gallop. [popflock.com]

The sound of the tricuspid valve closing may be louder in patients with pulmonary hypertension due to increased pressure beyond the valve. [allnurses.com]

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Chronic Thromboembolic Pulmonary Hypertension

[…] of one or more WHO functional class; worsening right ventricular failure (e.g., as indicated by increased jugular venous pressure; new/worsening hepatomegaly, ascites, or [clinicaltrials.gov]

PE 99,100 and found capable of identifying patients with very low rates of adverse events. 101 The index considers such factors like age, sex, comorbidities, presence of tachycardia [revespcardiol.org]

artery pressure (p 0.0103) were associated with increased likelihood for an IPAH diagnosis. [ncbi.nlm.nih.gov]

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