The jugular venous exam is an important aspect of assessing a patient's volume status, especially in patients with heart failure, liver failure and kidney failure. Both elevation of the neck veins and the variations of the neck vein waveforms share valuable information about a patient's diagnosis.

Jul 25, 2023 · When performed carefully and properly, the jugular venous waveform can provide an estimate of central venous pressure (CVP) and, when it is distended, can provide prognostic implications in patients with heart failure.

When properly performed, the careful examination of jugular venous waveforms in the neck provides the clinician with a reasonable estimate of central venous pressures (CVP), and it also imparts prognostic information in patients with heart failure (HF) [1].

The jugular venous pressure (JVP, sometimes referred to as jugular venous pulse) is the indirectly observed pressure over the venous system via visualization of the internal jugular vein. It can be useful in the differentiation of different forms of heart and lung disease.

Aug 3, 2020 · An overview of jugular venous pressure (JVP) including background physiology, how the JVP should be assessed, causes of a raised JVP and the JVP waveform.

JVP is a proxy for measuring central venous pressure. The best definition of elevated JVP appears to be when the top of the internal jugular vein is ≥3cm above the sternal angle.

The normal JVP consists of 3 ascents or positive waves (a,c and v) and 2 descents or negative waves (x,x’ and y): a wave (ascent): Corresponds to right a trial contraction leading to retrograde blood flow into neck veins and ends synchronously with the carotid artery pulse.

Aug 24, 2021 · In this pearl laden episode, they discuss how the exam can be used to non-invasively assess a patient’s hemodynamic status, risk stratify and inform prognosis, and guide management. They also discuss ways to master the evaluation of the JVP and categorize patients based on their RA:PCWP ratio.

Nearly all newly diagnosed HF patients present with fluid retention, which is also a recurring problem for those with chronic HF, at times despite proper management. Careful estimation of JVP using IJV and EJV is the most reliable means to assess fluid volume status.

The assessment of the jugular venous pressure (JVP) is critical to the evaluation and treatment of any disorder that involves changes in extra-cellular volume and/or cardiac function.