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Jugular Venous Response for Risk Stratification in Heart Failure
Masaki Noguchi1, Kenichi Kasai2, Sakiko Honda1
1Department of Cardiology, Matsushita Memorial Hospital, Moriguchi, JPN.
Cureus
|May 20, 2024
Summary
Jugular venous pressure (JVP) response to inspiration is a simple, practical method for risk stratification in heart failure (HF) patients. This assessment effectively predicts adverse outcomes, aiding clinical management.
Area of Science:
- Cardiology
- Clinical Medicine
- Physiology
Background:
- Jugular venous pressure (JVP) response to inspiration is a recognized risk stratification method in heart failure (HF) management.
- The comparative effectiveness of JVP response to inspiration versus other simple methods remains unclear.
Purpose of the Study:
- To evaluate the effectiveness of jugular venous pressure (JVP) response to inspiration as a risk assessment tool in stable heart failure (HF) patients.
- To compare the predictive value of JVP response to inspiration with other simple physical assessments.
Main Methods:
- Seventy-nine stable heart failure patients were enrolled.
- Jugular venous pressure (JVP) was assessed at rest and in response to inspiration, the five-repetition sit-to-stand test (5-STS), and squatting.
- The primary outcome was a composite of all-cause death and hospitalization for worsening HF.
Main Results:
- A high JVP at rest and during inspiration, after 5-STS, and during squatting were all associated with the primary outcome (all P <0.05).
- The JVP response to inspiration and squatting demonstrated higher specificity (89% and 92%, respectively) for predicting the primary outcome at one year compared to the 5-STS response (80%) in patients without high JVP at rest.
Conclusions:
- The jugular venous pressure (JVP) response to inspiration is a simple and practical method for risk assessment in stable heart failure (HF) patients.
- This method aids in stratifying risk and potentially guiding management decisions for heart failure.
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