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JU G U LA R V EN O U S
P R ESS U R E
1. Anatomy
2. JV pressure measurement
3. Causes of elevated JVP
4. Normal wave pattern
5. Abnormal wave pattern
6. Kussmaul s sign and hepatojugular
reflux
7. Specific conditions
Jugular veins
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Lateral to
carotid artery
& deep to
sternomastoi
d muscle.
External
jugular is
superficial to
sternomastoi
d
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D iff
erences betw een IJV and Carotid pulses
of the hand
Assessment of jugular venous
point
Sternal angle RA
Fixed relationship
Position ofPatient
Patient should lie comfortably and trunk is inclined by
an angle
angle .
Elevated JVP
Increased RVP and reduced compliance:
Pulmonary stenosis
Pulmonary hypertension
Right ventricular failure
RV infarction
RV inflow impedance:
Tricuspid stenosis / atresia
RA myxoma
Constrictive pericarditis
Elevated JVP
Circulatory overload :
Renal failure
Cirrhosis liver
Excessive fluid administration
SVC obstruction
15 sec
Normally JV pressure rises transiently to <
1cm while abdominal pressure is continued
If JV pressure remains elevated >1cm until
thorax.
A failing/dilated RV not able to receive venous
N orm alJVP
Normal JVP reflects phasic pressure
N orm alJVP
JVP dievaluasi tinggi dan
karakternya.
Tinggi JVP lebih dari 3 cm H2O
merupakan tanda peningkatan
tekanan atrium kanan. Normal
berkisar 5+/- 2 cm H2O
Cara JVP
Meminta pasien tidur terlentang sedemikian rupa sehingga kepala
Thank you