Elevated Jugular Venous Pressure
Also written as JVP.
*Elevated jugular venous pressure (JVP):* High intrapericardial pressure prevents venous return to the right atrium; characteristically displays an absent or attenuated *y*-descent because early ventricular filling is prevented.
What our notes say
- *Elevated jugular venous pressure (JVP):* High intrapericardial pressure prevents venous return to the right atrium; characteristically displays an absent or attenuated *y*-descent because early ventricular filling is prevented. (Pericarditis, effusion and tamponade)
- The Fluid Overload Trap: The commonest wrong first step in a hypotensive patient with elevated jugular venous pressure and crackles is giving a fluid bolus. (Shock and cardiovascular emergencies)
- Beck's Triad: Low arterial pressure, elevated jugular venous pressure, and muffled heart sounds. (Pericarditis, effusion and tamponade)
- Elevated Jugular Venous Pressure (JVP): Reflects high right atrial pressure secondary to elevated right ventricular end-diastolic pressure or biventricular failure. (Cardiomyopathies)
- Examination reveals a blood pressure of 100/65 mmHg, heart rate of 115 bpm, elevated jugular venous pressure (6 cm above the sternal angle), bilateral basal crackles extending halfway up the lung fields, an S3 gallop, and a soft pansystolic murmur at the apex. (Cardiomyopathies)
- A 32-year-old male with pulmonary tuberculosis presents with a blood pressure of 80/50 mmHg, pulse of 124 beats per minute, elevated jugular venous pressure, clear breath sounds bilaterally, and soft heart sounds. (Shock and cardiovascular emergencies)