A new “Avatar” in Jugular venous pulse examination
Posted Sep 02 2010 8:19pm
Looking at the neck veins for hours together has been a favorite pastime of our cardiology ancestors.Thanks to those sharp intellect , that has led us to this height of cardiovascular revolution. Measuring JV pressure by itself was considered a big science. Putting a patient in 45 degrees , marking the sternal angle, identify the oscillating venous column, measuring the vertical distance etc . . .
Now in 2010 , with bedside hand-held echo one can rapidly rule out an elevated central venous pressure by imaging the jugular vein directly . Here is an article from American heart journal
Looking at the neck veins for hours together has been a favorite pastime of our cardiology ancestors.Thanks to those sharp intellect , that has led us to this height of cardiovascular revolution. Measuring JV pressure by itself was considered a big science. Putting a patient in 45 degrees , marking the sternal angle, identify the oscillating venous column, measuring the vertical distance etc . . .
Now in 2010 , with bedside hand-held echo one can rapidly rule out an elevated central venous pressure by imaging the jugular vein directly . Here is an article from American heart journal
Simon MA, Kliner DE, Girod JP, et al. Detection of elevated right atrial pressure
using a simple bedside ultrasound measure. Am Heart J 2010; 159:421–427.
Soon , your mobile will double up as ultra-portable echocardiogram
Read this related article in this blog .