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Review
. 2013 Oct;80(10):638-44.
doi: 10.3949/ccjm.80a.13039.

The jugular venous pressure revisited

John Michael S Chua Chiaco  1 , Nisha I Parikh, David J Fergusson
Affiliations
Review

The jugular venous pressure revisited

John Michael S Chua Chiaco et al. Cleve Clin J Med. 2013 Oct.

Abstract

Assessment of the jugular venous pressure is often inadequately performed and undervalued. Here, we review the physiologic and anatomic basis for the jugular venous pressure, including the discrepancy between right atrial and central venous pressures. We also describe the correct method of evaluating this clinical finding and review the clinical relevance of the jugular venous pressure, especially its value in assessing the severity and response to treatment of congestive heart failure. Waveforms reflective of specific conditions are also discussed.

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Figures

FIGURE 1
FIGURE 1
FIGURE 2
FIGURE 2
a Not drawn to scale, but intended to illustrate the mechanisms involved. b Produces occasional giant a waves. c Not a true a wave, but fine oscillations of the waveform. AS = atrial systole; ECG = electrocardiography; VS = ventricular systole
See this image and copyright information in PMC

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