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28 Possible Causes for Increased Jugular Venous Pressure, Pulsus Alternans

  • Congestive Heart Failure

    Right heart failure is characterized by low output syndrome with increased jugular venous pressure, increased liver size and hypotension.[doi.org] alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] Jugular venous pressure is frequently assessed as a marker of fluid status, which can be accentuated by eliciting hepatojugular reflux.[en.wikipedia.org]

  • Cardiomyopathy

    RATIONALE: Left ventricular non-compaction cardiomyopathy (LVNC) is a rare heart disorder related to thrombosis. Anticoagulant therapy is suggested for the treatment of this disease. The success of the novel oral anticoagulant rivaroxaban as a treatment option for this disorder is unclear. PATIENT CONCERNS: A[…][ncbi.nlm.nih.gov]

  • Pulmonary Edema

    Serotonin syndrome (SS) is a potentially life-threatening condition resulting from excessive central and peripheral serotonergic activity. Clinically, it is a triad of mental-status changes, neuromuscular abnormalities, and autonomic disturbances. It can be caused by intentional self-poisoning, overdose, or inadvertent[…][ncbi.nlm.nih.gov]

  • Myocardial Infarction

    In cross-sectional studies in the general population, 15 to 40% of patients with ECG evidence of past myocardial infarction (MI) do not give a history of typical cardiac symptoms [ 1, 2, 3 ]. Mortality rates in patients with such “silent” MIs have been reported as higher than, similar to, or lower than those in[…][doi.org]

  • Acute Myocardial Infarction

    Ventricular septal rupture (VSR) is a rare but fatal complication of acute myocardial infarction (AMI) with an associated mortality that ranges from 41% to 80%. The treatment consists of supplemental oxygenation, afterload reduction, intraaortic balloon pump, and surgical repair. In selected patients, extracorporeal[…][ncbi.nlm.nih.gov]

  • Acute Myocarditis

    Abstract A 5-month-old boy was admitted to hospital presenting with cardiogenic shock. The echocardiographic examinations revealed a severe ventricular dysfunction. Despite the aggressive medical therapy, his hemodynamic status progressively deteriorated. Mechanical circulatory support was initially provided with[…][ncbi.nlm.nih.gov]

  • 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] alternans, (alternating pulses, strong weak), Increased heart rate, PMI displaced inferiorly and posteriorly.[quizlet.com] alternans 1,2 right-predominant symptoms and signs nocturia 1,2 sacral and scrotal edema, especially if bed bound 1,2 peripheral (ankle) edema 1,2 ascites 1,2 hepatomegaly[radiopaedia.org]

  • Heart Failure

    Right heart failure is characterized by low output syndrome with increased jugular venous pressure, increased liver size and hypotension.[doi.org] alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] 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]

  • Cardiac Tamponade

    Jugular enlargement – This vein engorges with the increasing jugular venous pressure.[symptoma.com] Pulsus paradoxus was 20 mmHg. The electrocardiogram showed low-voltage QRS complex with electrical alternans.[ncbi.nlm.nih.gov] […] subacute/chronic cardiac tamponade. 5 Electrical alternans is present in less than 1/3 of patients with cardiac tamponade. 1 Pulsus paradoxus may occur in the setting of massive[emdocs.net]

  • 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] Patients also should be hospitalized if they have pulsus paradoxus, electrical alternans on the ECG, or a large pericardial effusion.[aafp.org]

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