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Heart failure; Other names: Congestive heart failure (CHF), congestive cardiac failure (CCF) [1] [2] A man with congestive heart failure and marked jugular venous distension. External jugular vein marked by an arrow. Specialty: Cardiology: Symptoms: Shortness of breath, exhaustion, swollen legs [3] Complications: Cardiac arrest: Duration ...
Kussmaul's sign is a paradoxical rise in jugular venous pressure (JVP) on inspiration, or a failure in the appropriate fall of the JVP with inspiration. It can be seen in some forms of heart disease and is usually indicative of limited right ventricular filling due to right heart dysfunction.
A man with congestive heart failure and marked jugular venous distention. External jugular vein marked by an arrow; however, JVP is not measured by looking at the external jugular vein even but is instead measured by pulsations of the skin from the internal jugular vein, which is not visible in this image.
Stage A Defined as: At high risk for heart failure but without structural heart disease (defects in the heart from aging, injury, infection, or heart defect at birth), or symptoms of heart failure.
A man with congestive heart failure and marked jugular venous distension. External jugular vein marked by an arrow. Pitting edema during and after the application of pressure to the skin. A jugular venous distension is the most sensitive clinical sign for acute decompensation. [7]
The rising central venous pressure is evidenced by distended jugular veins while in a non-supine position. It is caused by reduced diastolic filling of the right ventricle, due to pressure from the adjacent expanding pericardial sac. This results in a backup of fluid into the veins draining into the heart, most notably, the jugular veins.
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