From the Research
Hepatojugular Reflux (HJR) Findings
- A positive Hepatojugular Reflux (HJR) is not a normal finding, as it is associated with volume overload and increased right atrial pressure 1, 2.
- The HJR test is a useful prognostic marker for postdischarge outcomes in patients with acute heart failure, and its presence is correlated with clinical and objective hemodynamic markers of volume overload 1.
- A positive HJR test result is highly sensitive and specific for predicting elevated right atrial pressure and right ventricular end-diastolic pressure 2.
- However, one study found that the HJR is not a reliable sign of incipient heart failure, as it can be present in patients without congestive cardiac failure 3.
Clinical Significance of HJR
- The HJR is an important prognostic clinical sign in the field of medicine, and its correct interpretation is crucial for patient care 4.
- The presence of HJR may reflect structural and functional changes of the left ventricle in hypertensive patients, and it can be a predictor of heart failure with preserved ejection fraction 5.
- The HJR is correlated with pulmonary artery pressure and probably reflects the increase in central blood volume 5.