Harrison's Manual of Medicine
JUGULAR VENOUS PULSATION (JVP)
Jugular venous distention develops in right-sided heart failure, constrictive pericarditis, pericardial tamponade, obstruction of superior vena cava. JVP normally falls with inspiration but may rise (Kussmaul sign) in constrictive pericarditis. Abnormalities in examination include:
- Large “a” wave: Tricuspid stenosis (TS), pulmonic stenosis (PS), atrioventricular (AV) dissociation (right atrium contracts against closed tricuspid valve)
- Absent “a” wave: Atrial fibrillation
- Large “v” wave: Tricuspid regurgitation, atrial septal defect
- Steep “y” descent: Constrictive pericarditis
- Slow “y” descent: TS
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Citation
Kasper, Dennis L., et al., editors. "JUGULAR VENOUS PULSATION (JVP)." Harrison's Manual of Medicine, 20th ed., McGraw Hill Inc., 2020. harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623298/all/JUGULAR_VENOUS_PULSATION__JVP_.
JUGULAR VENOUS PULSATION (JVP). In: Kasper DLD, Fauci ASA, Hauser SLS, et al, eds. Harrison's Manual of Medicine. McGraw Hill Inc.; 2020. https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623298/all/JUGULAR_VENOUS_PULSATION__JVP_. Accessed July 29, 2025.
JUGULAR VENOUS PULSATION (JVP). (2020). In Kasper, D. L., Fauci, A. S., Hauser, S. L., Longo, D. L., Jameson, J. L., & Loscalzo, J. (Eds.), Harrison's Manual of Medicine (20th ed.). McGraw Hill Inc.. https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623298/all/JUGULAR_VENOUS_PULSATION__JVP_
JUGULAR VENOUS PULSATION (JVP) [Internet]. In: Kasper DLD, Fauci ASA, Hauser SLS, Longo DLD, Jameson JLJ, Loscalzo JJ, editors. Harrison's Manual of Medicine. McGraw Hill Inc.; 2020. [cited 2025 July 29]. Available from: https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623298/all/JUGULAR_VENOUS_PULSATION__JVP_.
* Article titles in AMA citation format should be in sentence-case
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ED - Hauser,Stephen L,
ED - Longo,Dan L,
BT - Harrison's Manual of Medicine
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