Hepatojugular reflux

Hepatojugular reflux: Description, Causes and Risk Factors:Hepatojugular refluxAn elevation of venous pressure visible in the jugular veins and measurable in the veins of the arm, produced in active or impending congestive heart failure (CHF) and constrictive pericarditis by firm pressure with the flat hand over the abdomen often called hepatojugular reflux when pressure is exclusively over the liver.Causes and Risk Factors:Heart failure.
  • Constrictive pericarditis (JVP increases on inspiration - called Kussmaul's sign).
  • Cardiac tamponade.
  • Fluid overload, e.g. renal disease.
  • Superior vena cava obstruction (no pulsation).
Hepatojugular reflux can yield valuable information about cardiac function (especially of the right ventricle) and pulmonary function and is an important component of the assessment of volume status. The hepatojugular reflux is most commonly elevated with a raised venous pressure due to cardiac failure or hypervolaemia.In principle, the hepatojugular reflux reflects the height of the column of venous blood that rises above the physiologic zero point, which corresponds to the right atrium in humans.Symptoms:Symptoms may include:Getting tired very easily.
  • Fatigue and syncope.
  • Chest pain and angina.
  • Trouble breathing.
  • Trouble in breathing.
  • Heart murmur.
  • Weight gain.
Diagnosis:The hepatojugular maneuver may be performed as follows:The patient is positioned supine with elevation of the head at 45 degrees.
  • Look at jugular pulsations during quiet respirations (baseline JVP).
  • Apply gentle pressure (30-40 mmHg) over the right upper quadrant or middle abdomen for at least 10 seconds (some suggest to 1 minute).
  • Repeat the JVP.
  • An increase in JVP of >3 cm is a positive hepatojugular reflux test.
Practitionerexperienced in assessing hepatojugular reflux can gain further information by scrutinizing the hepatojugular reflux waveform.Treatment:The best treatment options will be decided by your physician. The osseous impingement of the dominant jugular vein can be relieved via a decompressive styloidectomy, and the clinical results can be excellent.NOTE: The above information is educational purpose. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.

0 Comments

Submit a Comment

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Cart Preview

Getting Enough Sleep at Night Can Reduce the Risk of Heart Disease

Getting Enough Sleep at Night Can Reduce the Risk of Heart Disease

Recent research from Massachusetts General Hospital in Boston, US, suggests that getting enough sleep at nights connected to the decreased risk of developing atherosclerosis, a condition in which plaque builds up on the inner walls of the arteries. For the study, a...

Western Diet Might Increase the Severity of Sepsis

Western Diet Might Increase the Severity of Sepsis

A new study from Portland State University in Oregon suggests that the Western diet can increase severity of sepsis, which is also called as blood poisoning. For the study, researchers fed mice the equivalent of a Western diet which included a lot of fat and sugar had...

[WpProQuiz 1]

Featured Products

Kangoo Jumps Training: 5 Beginner Exercises

In childhood, many of us dreamed of learning to jump high. Now, after years, it became easier - Kangoo Jumps has appeared. This is one of the relatively new, but quickly gaining popularity types of fitness training. There are several advantages of jumpers. ...

read more
All original content on these pages is fingerprinted and certified by Digiprove