Jugular venous distension on ultrasound: Sensitivity and specificity for heart failure in patients with dyspnea

Timothy Jang, Chandra Aubin, Rosanne Naunheim, Lawrence M. Lewis, Amy H. Kaji

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Background: Accurately diagnosing congestive heart failure (CHF) in patients with dyspnea can be difficult because clinical history and physical examination are often nondiagnostic and may be inaccurate, especially when patients have complicated comorbid conditions. Objective: To prospectively assess jugular venous distension on ultrasound (JVD-US) performed by emergency physicians for identifying CHF on echocardiography by the department of cardiology (C-ECHO) in patients with dyspnea. Measurements: This was a secondary analysis of a previously collected data set from a prospective study of JVD-US in ED patients with dyspnea due to suspected CHF. C-ECHO results were obtained and used as the criterion standard. Results: Jugular venous distension on ultrasound had a sensitivity of 99% (95% confidence interval [CI], 92.2%-100%), specificity of 59% (95% CI, 40.9%-74.4%), positive likelihood ratio of 2.4 (95% CI, 1.6-3.6), and negative likelihood ratio of 0.01 (95% CI, 0.0007-0.20) for identifying CHF on C-ECHO in patients with dyspnea. Conclusion: This initial study suggests that JVD-US by emergency physicians is predictive of CHF using echocardiography performed by the department of cardiology as the criterion standard.

Original languageEnglish
Pages (from-to)1198-1202
Number of pages5
JournalAmerican Journal of Emergency Medicine
Volume29
Issue number9
DOIs
StatePublished - Nov 1 2011

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