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Continuous Venous-Arterial Doppler Ultrasound During a Preload Challenge

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[Jugular venous distention].

Ricardo Noronha¹, Fanny Blondet¹

¹Service de médecine interne, Département de médecine, Hôpital de Morges, Ensemble hospitalier de la Côte, 1110 Morges.

Revue Medicale Suisse

|December 11, 2025

Summary

This summary is machine-generated.

A 74-year-old patient experienced worsening heart failure symptoms, including shortness of breath and leg swelling. Diagnostic tests confirmed decompensated heart failure, necessitating prompt medical intervention.

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Area of Science:

Cardiology
Internal Medicine

Background:

The patient, aged 74, has a history of hypertension and heart failure secondary to moderate aortic stenosis.
The patient presented with a one-week history of exertional dyspnea and bilateral lower limb edema.

Purpose of the Study:

To diagnose the cause of worsening symptoms in a patient with known heart conditions.
To confirm clinical suspicion of decompensated heart failure.

Main Methods:

Clinical examination, including assessment for jugular venous distention.
Echocardiogram to evaluate cardiac structure and function.
Chest X-ray to assess for pulmonary congestion.
Blood analysis, including N-terminal pro-B-type natriuretic peptide (NT-Pro-BNP) measurement.

Main Results:

Clinical examination revealed jugular venous distention, suggestive of fluid overload.
Diagnostic imaging and laboratory tests confirmed the diagnosis of decompensated heart failure.

Conclusions:

The patient's presentation was consistent with decompensated heart failure.
Multimodal diagnostic approach was effective in confirming the diagnosis.