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Chronic Venous Insufficiency: a Frequently Underdiagnosed and Undertreated Pathology
Marilena Spiridon1, Dana Corduneanu2
1Department of Cardiology, "St. Spiridon" Clinical Emergency Hospital, Iasi, Romania.
Abstract:
The article describes the medical approach of a frequent pathology, chronic venous insufficiency. Chronic venous insufficiency requires early diagnosis as well as an evaluation of the associated risk factors; also, patients need to understand the disease and its treatment, and to become compliant with all their physician's recommendations. Importantly, the physician should correctly evaluate the disease and decide the best option for the patient. These days, it is crucial that the patient benefits from optimal treatment choice in order to prevent complications. CVI is a potentially severe pathology that has been underdiagnosed and undertreated for a long time and requires patience from the patient as well as care from the physician.
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Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...

