Is hepatojugular reflux a good predictor of heart failure with preserved ejection fraction?
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Associação Médica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302019000500592 |
Resumo: | SUMMARY Hypertension may occur with left ventricular (LV) diastolic dysfunction, and the consequence may be symptoms and signs of heart failure (HF). Hepatojugular reflux (HJR), described as a sign of regurgitation of the tricuspid valve, may reflect structural and functional changes of the LV in the hypertensive patient. The signal may be present in the presence of HF. Case: male, 49 years old with uncontrolled blood pressure. Physical examination showed jugular turgescence, HJR, and elevated blood pressure. Complementary exams showed signs of atrial and left ventricular overload in the electrocardiogram and, the echocardiogram showed left atrium volume increase, concentric LV hypertrophy and signs of grade I diastolic dysfunction. DISCUSSIO: The HJR present correlates with pulmonary artery pressure and probably reflect the increase in central blood volume. |
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Is hepatojugular reflux a good predictor of heart failure with preserved ejection fraction?HypertensionJugular Veins/physiologyHeart failureSUMMARY Hypertension may occur with left ventricular (LV) diastolic dysfunction, and the consequence may be symptoms and signs of heart failure (HF). Hepatojugular reflux (HJR), described as a sign of regurgitation of the tricuspid valve, may reflect structural and functional changes of the LV in the hypertensive patient. The signal may be present in the presence of HF. Case: male, 49 years old with uncontrolled blood pressure. Physical examination showed jugular turgescence, HJR, and elevated blood pressure. Complementary exams showed signs of atrial and left ventricular overload in the electrocardiogram and, the echocardiogram showed left atrium volume increase, concentric LV hypertrophy and signs of grade I diastolic dysfunction. DISCUSSIO: The HJR present correlates with pulmonary artery pressure and probably reflect the increase in central blood volume.Associação Médica Brasileira2019-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302019000500592Revista da Associação Médica Brasileira v.65 n.5 2019reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.65.5.592info:eu-repo/semantics/openAccessBaldivia,Guilherme CristianiniNapoli,João Vitor Moraes PithonMotta,Josiane Motta eVieira Filho,Normando GomesLopes,Heno Ferreiraeng2019-05-28T00:00:00Zoai:scielo:S0104-42302019000500592Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2019-05-28T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false |
dc.title.none.fl_str_mv |
Is hepatojugular reflux a good predictor of heart failure with preserved ejection fraction? |
title |
Is hepatojugular reflux a good predictor of heart failure with preserved ejection fraction? |
spellingShingle |
Is hepatojugular reflux a good predictor of heart failure with preserved ejection fraction? Baldivia,Guilherme Cristianini Hypertension Jugular Veins/physiology Heart failure |
title_short |
Is hepatojugular reflux a good predictor of heart failure with preserved ejection fraction? |
title_full |
Is hepatojugular reflux a good predictor of heart failure with preserved ejection fraction? |
title_fullStr |
Is hepatojugular reflux a good predictor of heart failure with preserved ejection fraction? |
title_full_unstemmed |
Is hepatojugular reflux a good predictor of heart failure with preserved ejection fraction? |
title_sort |
Is hepatojugular reflux a good predictor of heart failure with preserved ejection fraction? |
author |
Baldivia,Guilherme Cristianini |
author_facet |
Baldivia,Guilherme Cristianini Napoli,João Vitor Moraes Pithon Motta,Josiane Motta e Vieira Filho,Normando Gomes Lopes,Heno Ferreira |
author_role |
author |
author2 |
Napoli,João Vitor Moraes Pithon Motta,Josiane Motta e Vieira Filho,Normando Gomes Lopes,Heno Ferreira |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Baldivia,Guilherme Cristianini Napoli,João Vitor Moraes Pithon Motta,Josiane Motta e Vieira Filho,Normando Gomes Lopes,Heno Ferreira |
dc.subject.por.fl_str_mv |
Hypertension Jugular Veins/physiology Heart failure |
topic |
Hypertension Jugular Veins/physiology Heart failure |
description |
SUMMARY Hypertension may occur with left ventricular (LV) diastolic dysfunction, and the consequence may be symptoms and signs of heart failure (HF). Hepatojugular reflux (HJR), described as a sign of regurgitation of the tricuspid valve, may reflect structural and functional changes of the LV in the hypertensive patient. The signal may be present in the presence of HF. Case: male, 49 years old with uncontrolled blood pressure. Physical examination showed jugular turgescence, HJR, and elevated blood pressure. Complementary exams showed signs of atrial and left ventricular overload in the electrocardiogram and, the echocardiogram showed left atrium volume increase, concentric LV hypertrophy and signs of grade I diastolic dysfunction. DISCUSSIO: The HJR present correlates with pulmonary artery pressure and probably reflect the increase in central blood volume. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-05-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302019000500592 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302019000500592 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1806-9282.65.5.592 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Médica Brasileira |
publisher.none.fl_str_mv |
Associação Médica Brasileira |
dc.source.none.fl_str_mv |
Revista da Associação Médica Brasileira v.65 n.5 2019 reponame:Revista da Associação Médica Brasileira (Online) instname:Associação Médica Brasileira (AMB) instacron:AMB |
instname_str |
Associação Médica Brasileira (AMB) |
instacron_str |
AMB |
institution |
AMB |
reponame_str |
Revista da Associação Médica Brasileira (Online) |
collection |
Revista da Associação Médica Brasileira (Online) |
repository.name.fl_str_mv |
Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB) |
repository.mail.fl_str_mv |
||ramb@amb.org.br |
_version_ |
1754212834180333568 |