https://doi.org/10.4081/vl.2024.12664

Extraction of the Jugular Venous Pulse and carotid profile using a cervical contact plethysmography system

Vol. 13 (2024): Early Access
Submitted: 14 May 2024
Accepted: 2 July 2024
Published: 30 July 2024
Jugular Venous Pulse, telemedicine, space missions, chronic heart failure, cerebral venous drainage
Abstract Views: 260
PDF: 103
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Authors

Bruno Soggia
https://orcid.org/0009-0004-2578-7126
Department of Translational Medicine and for Romagna, University of Ferrara, Italy.
Anselmo Pagani
pngnlm@unife.it
Department of Translational Medicine and for Romagna, University of Ferrara, Italy.
Antonino Proto
https://orcid.org/0000-0003-1964-8184
Department of Neuroscience and Rehabilitation, University of Ferrara, Italy.
Rosa Brancaccio
https://orcid.org/0000-0002-6240-5586
Department of Physics and Astronomy, University of Bologna, Italy.
Angelo Taibi
https://orcid.org/0000-0002-2494-8993
Department of Physics and Earth Sciences, University of Ferrara, Italy.

The Jugular Venous Pulse (JVP) is considered a reliable parameter for the assessment of Central Venous Pressure (CVP). Here, the functionality of a cervical contact plethysmography system designed for non-invasive and operator-independent acquisition of the JVP signal, is shown. To validate the signal, it was recorded in supine and sitting positions, together with the reference Electrocardiography (ECG), on 26 healthy subjects. In the supine acquired signal, the characteristic JVP waves (a, c, v) and the negative deflections (x, y) are well recognizable. In the sitting recorded signal, the systolic peak b and the d incisura of the Common Carotid Artery (CCA) waveform are recognized. For each signal, we calculated the Fraction of the Cardiac Cycle (ccf) represented by the time intervals between the JVP peaks and the ECG peaks, in the form: ΔtaP, ΔtcR, ΔtxP, ΔtvT, Δtyv, Δtvx, and Δtxa. The same was done for the CCA waveform, in the form: ΔtbS, ΔtbT, Δtdb, ΔtdS, and ΔtdT. This system could mitigate risks and costs associated with central venous catheterization and its potential extends to applications in telemedicine, sports medicine, and space medicine.

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Citations

Crossref
Scopus
Google Scholar
Europe PMC
World Health Organization (WHO). Fact Sheets. Cardiovascular diseases (CVDs). Available from: https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
Constant J. Using internal jugular pulsations as a manometer for right atrial pressure measurements. Cardiology. 2000;93:26-30. DOI: https://doi.org/10.1159/000006998
Applefeld MM. The jugular venous pressure and pulse contour. Clinical Methods: The History, Physical, and Laboratory Examination. Third edition. Butterworths; Boston, USA; 1990.
Irwin RS, Rippe JM, Celinski S, Snafu M. Central venous catheters. In: Irwin and Rippe’s intensive care medicine. Lippincott Williams & Wilkins; Philadelphia, USA; 2008.
Menegatti E, Proto A, Paternò G, et al. The effect of submaximal exercise on jugular venous pulse assessed by a wearable cervical plethysmography system. Diagnostics. 2022;12:2407. DOI: https://doi.org/10.3390/diagnostics12102407
Tavoni V. Technical note for post processing of jugular venous pulse, central venous pressure and velocity trace. Veins and Lymphatics. 2020;9:8268. DOI: https://doi.org/10.4081/vl.2020.8268
Zamboni P, Sisini F, Menegatti E, et al. Ultrasound monitoring of jugular venous pulse during space missions: proof of concept. Ultrasound Med Biol. 2018;44:726-33. DOI: https://doi.org/10.1016/j.ultrasmedbio.2017.11.001
De Bonis P, Menegatti E, Cavallo MA, et al. JEDI (Jugular Entrapment, Dilated Ventricles, Intracranial hypertension) syndrome: a new clinical entity? A case report. Acta Neurochir (Wien). 2019;161:1367-70. DOI: https://doi.org/10.1007/s00701-019-03908-2
Proto A, Conti D, Menegatti E, et al. Plethysmography system to monitor the jugular venous pulse: a feasibility study. Diagnostics. 2021;11:2390. DOI: https://doi.org/10.3390/diagnostics11122390
Alperin N, Lee SH, Sivaramakrishnan A, Hushek SG. Quantifying the effect of posture on intracranial physiology in humans by MRI flow studies. Journal of Magnetic Resonance Imaging: an Official Journal of the International Society for Magnetic Resonance in Medicine. 2005;22:591-6. DOI: https://doi.org/10.1002/jmri.20427
Zamboni P, Menegatti E, Pomidori L, et al. Does thoracic pump influence the cerebral venous return? J Appl Physiol. 2012;112:904-10. DOI: https://doi.org/10.1152/japplphysiol.00712.2011
Zamboni P, Menegatti E, Conforti P, et al. Assessment of cerebral venous return by a novel plethysmography method. J Vasc Surg. 2012;56:677-85. DOI: https://doi.org/10.1016/j.jvs.2012.01.074
Mohammed NY, Di Domenico G, Gambaccini M. Cerebral venous drainage through internal jugular vein. Veins and Lymphatics. 2019;8:8379. DOI: https://doi.org/10.4081/vl.2019.8379
Zamboni P, Tavoni V, Sisini F, et al. Venous compliance and clinical implications. Veins and Lymphatics. 2018;7:7367. DOI: https://doi.org/10.4081/vl.2018.7367
Sisini F. Physical description of the blood flow from the internal jugular vein to the right atrium of the heart: new ultrasound application perspectives. 2016. Available from: https://doi.org/10.48550/arXiv.1604.05171
Sisini F, Tessari M, Gadda G, et al. An ultrasonographic technique to assess the jugular venous pulse: a proof of concept. Ultrasound Med Biol. 2015;41:1334-41. DOI: https://doi.org/10.1016/j.ultrasmedbio.2014.12.666
Amelard R, Hughson RL, Greaves DK, et al. Non-contact hemodynamic imaging reveals the jugular venous pulse waveform. Sci Rep. 2017;7:40150. DOI: https://doi.org/10.1038/srep40150
Lam Po Tang EJ, HajiRassouliha A, Nash MP, et al. Non-contact quantification of jugular venous pulse waveforms from skin displacements. Sci Rep. 2018;8:17236. DOI: https://doi.org/10.1038/s41598-018-35483-4
García-López I, Rodriguez-Villegas E. Extracting the jugular venous pulse from anterior neck contact photoplethysmography. Sci Rep. 2020;10:3466. DOI: https://doi.org/10.1038/s41598-020-60317-7
Mari S, Pagani A, Valentini G, et al. Monitoring the cerebral venous drainage in space missions: the Drain Brain experiments of the Italian Space Agency. Veins and Lymphatics. 2023;12:11716. DOI: https://doi.org/10.4081/vl.2023.11716

Supporting Agencies

Italian Space Agency (ASI)

How to Cite

Soggia, B., Pagani, A., Proto, A., Brancaccio, R., & Taibi, A. (2024). Extraction of the Jugular Venous Pulse and carotid profile using a cervical contact plethysmography system. Veins and Lymphatics, 13. https://doi.org/10.4081/vl.2024.12664
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