Key result
The abdominojugular reflux test is most diagnostically useful in patients suspected of having right ventricular failure who have a normal central venous pressure at rest.
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This letter to the editor highlights that the abdominojugular reflux test is most diagnostically useful in patients with suspected right ventricular failure who have a normal central venous pressure at rest, rather than in those with already evident heart failure and elevated jugular venous pressure.
To the Editor: In their article, Bent and Dhaliwal (Aug. 21/28 issue) 1 show the use of the abdominojugular reflux test in a patient with heart failure, markedly elevated jugular venous pressure, peripheral edema, and basal crackles and underscore the hemodynamic significance of this test. However, the abdominojugular reflux test is most diagnostically useful when performed in patients in whom right heart failure is suspected but not evident. Harrison’s Principles of Internal Medicine describes the maneuver as most useful “in patients suspected of having right ventricular failure who have a normal CVP [central venous pressure] at rest.” 2 In this patient with . . .
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Sanjay D’Cruz (2025) conducted a letter in Right heart failure. Abdominojugular reflux test was evaluated. The abdominojugular reflux test is most diagnostically useful in patients suspected of having right ventricular failure who have a normal central venous pressure at rest.
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