Loading....
Coupon Accepted Successfully!

Medicine

Open Flashcards

Cardiology

Question
18 out of 19
 

Positive hepatojugular reflux is found in all of the following conditions except? (AIIMS May 2011)



A Tricuspid regurgitation

B Right heart failure

C Decreased after load

D Increased pulmonary capillary wedge pressure

Ans. C

Decreased after load

(Ref: Hari- 18th ed., page 1825)

1. In patients suspected of having right ventricular failure who have a normal CVP at rest, the abdominojugular reflux test may be helpful.

2. The palm of the examiner's hand is placed over the abdomen, and firm pressure is applied for 10 s or more. In normal persons, this maneuver does not alter the jugular venous pressure significantly, but when right heart function is impaired, the upper level of venous pulsation usually increases.

3. A positive abdominojugular test is best defined as an increase in JVP during 10 s of firm midabdominal compression followed by a rapid drop in pressure of 4 cm blood on release of the compression.

Extra Edge:

1. The most common cause of a positive test is right-sided heart failure secondary to elevated left heart filling pressures.

2. Increase after load is associated with LVF. That is why ACEI are used in the treatment of LVF (To reduce after load)

Cardiology Flashcard List

19 flashcards
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
11)
12)
13)
14)
15)
16)
17)
18)
19)