Jugular Venous Pulse (JVP) Explained Clearly - Evaluation, Waveforms, Interpretation

Includes discussion on how to remember waveforms, central lines, anatomy of the heart, ventilators and much more. This is video 1 of 2 on Jugular Venous Pulse (JVP).

Speaker: Roger Seheult, MD
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.

MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Pneumonia Treatment, any many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded.

Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations.

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Produced by Kyle Allred PA-C

Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical educational and exam preparation purposes, and not intended to replace recommendations by your health care provider.

[snowblue]

One can go round and round and come back again to medcram lectures..being the best.

[Grootuser]

I really appreciate your re-iterating summary at the end. I'm not a med-school student or clinician at all (BME), but this really made helped me make sense of this. Thank you!

[hmputra]

I read Hurst and Braunwald about this topic and didn't understand. Then I search for this video, and I clearly understand this now.
Thanks MEDCRAM. Great video.

[davidmorgan]

Thank you! Great general conceptual review. Nice to link or include practical aspect of measuring CVP for those asked to measure it.

[iloveu]

How to remember acxvy

a = Atrial contraction
c = triCuspid valve closure
x = atrial relaXation
v = passiVe filling into atria
y = atrial emptYing/tricuspid valve opens

[sirranhaal]

Thank you. Goodness gracious I had a hard time finding a good explanation.

[kaztazable]

keep these videos coming! They are really helping me through medschool

[drvinaybaddoley]

These video are concise, reliable and helpful. I would like to suggest and request for ECG series.

[MsDrPark]

10:58 Villing:) greetings from a german student studying Med in Poland <3

[MikeBirkhead]

A=Atrial contractionC= Closure of triCuspidX = relaX (atria)V= Venous returnY = emptYing atria (passive phase)
I was actually watching this to figure out if C was truly tricuspid closure or carotid pulse--I watched a 1957 venous wave form video that said there isn't a "C" wave in atrial pressure tracings, but only when using a pneumatic jugular pressure tracing--but a cardiologist explained this as Closure of tricuspid, but gave no further evidence--is it ACTUALLY seen on a central line? That would solve the problem all together.

[LC-jyul]

Nice video! I finally understood it. Thanks from Taiwan!

[davidmbeckmann]

This always confused me until I learned that what the eye percieves on exam is not what you see in a pressure trace. In normalcy, all you can visualize is the X descent falling onto the second heart sound.

[ladyvina]

Thank you for explaining it perfect! Greets from Spain!

[thebeatles]

Thanks sir it helps a lot, made it simpler for me to revise the whole concept, kudos!!

[hopepoole]

Your videos are so useful, I'm using them to revise a lot for my UK med school exams, so thank you!

Do you have any resources for looking into the changes in inspiration and expiration in more depth? What do you mean when you say that you have different waveforms throughout the respiratory cycle?

Excellent! Very comprehensive presentation. Thanks

[joserafaelcp]

Great video! Thank you for sharing knowledge!

[dralbert]

The only thing i do not understand about this curve is the v wave and y descent curves... I mean after the x descent, if the atrium is filling up to cause the (v wave) while tricuspid is closed... after its filled up totally, it starts to contract to push the blood to the ventricle... this should cause another (&should be named) A wave (not that what is so called V wave)... cause how would the blood flow to the ventricle without an atrial systole!!!!? Thats my point....
Can u understand what I mean !??
Can anybody explain this to me!?

[TheAlphaWaves]

Thank you for this videos ! I wish you could make one for hypernatremia!

[ihabalamar]

Can you please tell me what program you use for this explanation?