hepatojugular reflux

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  • noun

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a venous reflux occurring in congestive heart failure

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Valsalva manoeuvre and hepatojugular reflux indicate elevated filling pressures and may be useful in early stages (18-20).
Clinically, all patients had bradycardia, hepatojugular reflux, or lower limb edema.
Framingham criteria for the diagnosis of heart failure (8) Major criteria Minor criteria Orthopnea Ankle edema Paroxysmal nocturnal dyspnea Night cough Rales Exertional dyspnea Cardiomegaly Hepatomegaly Acute pulmonary edema Pleural effusion JVD > 16 cm Tachycardia (> 120 beats/minute) Hepatojugular reflex Decreased vital capacity by one-third Circulation time greater than Weight loss with HF treatment 25 seconds Diagnosis of congestive HF equals 2 major or 1 major plus 1 minor criteria.
Other signs and symptoms of CHF include: chest pain, cardiomegaly, tachycardia, tachypnea, rales, ascites, third heart sounds, hepatojugular reflex (distended jugular veins due to an enlarged liver), increased blood pressure (early stage of CHF), decreased blood pressure (resulting from cardiogenic shock in advanced CHF), and a decreased level of consciousness.
No jugular venous distention or hepatojugular reflux was found on examination.