{"title":"Volume Status: A Preload Assessment by Ultrasound of the Inferior Vena Cava and Jugular Venous Pulsation.","authors":"Libo Wang, Jonathan Harrison, Lillian Khor","doi":"10.1016/j.mcna.2024.06.006","DOIUrl":null,"url":null,"abstract":"<p><p>An accurate assessment of intracardiac pressure and etiology of its pathologic change is crucial in assessing volume status and cardiac hemodynamics. The assessment for abnormal central venous pressure in heart failure has driven the development of noninvasive assessment of the central veins: the inferior vena cava and, more recently, ultrasound assessment of the jugular venous pressure. This article discusses the evidence, techniques, and limitations of estimating central venous pressure by ultrasound assessment of the inferior vena cava and internal jugular vein.</p>","PeriodicalId":49838,"journal":{"name":"Medical Clinics of North America","volume":"109 1","pages":"121-135"},"PeriodicalIF":3.8000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Clinics of North America","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.mcna.2024.06.006","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/10/10 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
An accurate assessment of intracardiac pressure and etiology of its pathologic change is crucial in assessing volume status and cardiac hemodynamics. The assessment for abnormal central venous pressure in heart failure has driven the development of noninvasive assessment of the central veins: the inferior vena cava and, more recently, ultrasound assessment of the jugular venous pressure. This article discusses the evidence, techniques, and limitations of estimating central venous pressure by ultrasound assessment of the inferior vena cava and internal jugular vein.
期刊介绍:
Medical Clinics of North America provides concise and comprehensive coverage of the issues physicians face every day. Each bimonthly issue (January, March, May, July, September, and November) presents the latest information on a specific topic, with contributions from leading experts. No other publication keeps you as informed on the spectrum of health problems encountered in clinical practice. Topics include endocrinology, cardiology, infectious disease, nephrology, pulmonology, and gastroenterology. In addition, you can also purchase a CME subscription that offers up to 90 AMA Category 1 credits per year.