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Response of jugular venous pressure to exercise in patients with heart failure and its prognostic usefulness

The American Journal of Cardiology Apr 15, 2020

Kasai K, et al. - Given that jugular venous pressure (JVP) has been established for the evaluation of central venous pressure in patients suffering from heart failure (HF), but there exists limited data on the response of JVP to exercise due to its complicated methods, and simplifying the estimation of JVP may be used in such circumstances, so, researchers undertook this inquiry with 81 patients with HF, in whom, JVP was evaluated prior to as well as following the 6-minute walk test, by employing a simple method whereby the JVP was considered high when the internal jugular venous pulsation on the right side was visually identified above the right clavicle in the sitting position. A composite of cardiovascular mortality and hospitalization for worsening HF was the primary outcome. According to the findings, high JVP post-exercise was identified to be related to exercise intolerance as well as poor prognosis. To assess risk in patients with HF, a novel approach may be afforded by the response of JVP to exercise using this simple technique of physical examination.

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