Feasibility of Remote Video Assessment of Jugular Venous Pressure and Implications for Telehealth
Samuel A. Kelly, Kevin Schesing, Jennifer T. Thibodeau, Colby Ayers, Mark H. Drazner
Abstract
Guideline-directed management of heart failure includes assessment of volume status, 1 for which estimation of jugular venous pressure (JVP) is the most reliable bedside marker. [2] ][4] Whether JVP can be assessed remotely, as would occur during a telemedicine visit, is unknown. Given the dramatic increase in telemedicine visits during the coronavirus disease 2019 (COVID-19) pandemic, this question has gained further importance. We conducted a prospective observational study comparing JVP estimates performed at bedside and over video chat with invasively measured right atrial pressure (RAP).
Topics & Concepts
MedicineTelemedicineObservational studyGuidelineCentral venous pressureTelehealthCoronavirus disease 2019 (COVID-19)Intensive care medicineEmergency medicineBlood pressureCardiologyMedical emergencyInternal medicineDiseaseHeart ratePathologyHealth careEconomic growthEconomicsInfectious disease (medical specialty)Hemodynamic Monitoring and TherapyUltrasound in Clinical ApplicationsBlood Pressure and Hypertension Studies