Cardiology and Cardiovascular Research

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Jugulometer, a Medical Device: History, Description and Uses in Non-Invasive Assessment of Jugular Venous Pressure

Received: 26 December 2017    Accepted: 15 January 2018    Published: 01 February 2018
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Abstract

Jugular venous pressure (JVP) assessment is an important step in cardiovascular examination. JVP is an indirect measure of right atrial pressure / central venous pressure. The desire to measure JVP at bedside, though necessary during physical examination, is not easily achieved in most cases because of the difficulty in application of the two-ruler traditional method for its assessment. Jugulometer, a medical device designed and introduced at Ile-Ife in Nigeria for the purpose of non-invasive measurement of JVP at bedside. It is portable and easy-to-use. It consists of two bars (horizontal and vertical). The horizontal bar is embedded with spirit level while the vertical bar is graduated in centimetre. The two bars are assembled perpendicular to each other with a special mechanism which enable the vertical bar to slide over the horizontal bar without disrupting their perpendicular relationship. Jugulometer simplifies non-invasive measurement of JVP and makes the procedure more reproducible at bedside. This article is a documentation of the description, history of evolution of jugulometer and its uses in cardiovascular medicine and education. In conclusion, jugulometer is a medical device introduced at Ile-Ife in Nigeria to advance the traditional method and skill of non-invasive bedside assessment of jugular venous pressure.

DOI 10.11648/j.ccr.20180201.12
Published in Cardiology and Cardiovascular Research (Volume 2, Issue 1, March 2018)
Page(s) 4-7
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Jugulometer, Medical Device, Description, History, Uses, Jugular Venous Pressure

References
[1] Nagueh, S. F., Kopelen, H. A., Zoghbi, W. A (1996). Relation of mean right atrial pressure to echocardiographic and Doppler parameters of right atrial and right ventricular function. Circulation, 93, 1160-9.
[2] Ommen, S. R., Nishimura, R. A., Hurrell, D. G., Klarich, K. W (2000). Assessment of right atrial pressure with 2-dimensional and Doppler echocardiography: a simultaneous catheterization and echocardiography study, Mayo Clin Proc, 75, 24-9.
[3] Brennan, J. M., Blair, J. E., Goonewardena, S., Ronan. A., Shad, D., Vasslwala, S., et al.(2007). Reappraisal of the use of inferior vena cava for estimating right atrial pressure, J Am Soc Echocardiogr, 20,857-61.
[4] Fonseca, C., Morais, H., Mota, T., Matias, F., Costa, C., Gouviea-Oliveira, A., Ceia, F. (2004). "The diagnosis of heart failure in primary care: value of symptoms and signs". Eur J Heart Fail, 6 (6), 795-800.
[5] Stevenson, L, W., Perloff, J. K. (1989). "The limited reliability of the physical signs for estimating haemodynamic in chronic heart failure". JAMA, 261, 884-8.
[6] Ogunlade, O. (2005). Oodua Handbook of Jugular Venous Pressure. AndKolad Publishers Limited, Ile-Ife.
[7] Ogunlade, O., Akintomide, A. O., Adebayo, R. A., Ogunlade, B (2008). Jugulometer: An adaptation for measurement of jugular venous pressure. Nigerian Journal of Postgraduate Medicine, 2, 41-44.
[8] Lewis, T (1930). Remarks on early signs of cardiac failure of the congestive type. Br Med J, 1, 849-852.
[9] Borst, J. G. G., Molhuysen, J. A (1952). "Exact determination of the central venous pressure by a simple clinical method". The Lancet, 260 (6729), 304-309.
[10] Vincent, S. Y., Nathaniel, G. G., Peter, Y. D., Solomon, S. S (2015). "Zaria-made jugulometre: Assessing its usefulness in bedside medicine". Nigerian Journal of Cardiology, 12 (2), 77-80.
[11] Constant J (2000). Using internal jugular pulsations as a manometer for right atrial pressure measurements. Cardiology, 93, 26-30.
[12] Naveen, G., Nitish, G (2000). Jugular venous pulse: an appraisal. Journal, Indian Academy of Clinical Medicine, 1, 260-269.
[13] Chua Chiaco, J. M. S., Parikh, N. I., Fergusson, D. J (2013). The jugular venous pressure revisited, Cleve Clin J Med. 80, 638-644.
[14] Dosh, S. A (2004). Diagnosis of heart failure in adults. Am Fam Physician, 70, 2145-2152.
[15] King, M., Kingery, J., Casey, B (2012). Diagnosis and evaluation of heart failure, Am Fam Physician, 85, 1161-8.
[16] Drazner, M., Rame, J., Stevenson, L., Dries, D. L (2001). Prognostic importance of elevated jugular venous pressure and a third heart sound in patients with heart failure. N Engl J Med, 23, 345, 574-81.
Author Information
  • Department of Physiological Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria

  • Department of Physiological Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria

  • Department of Physiological Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria

  • Department of Physiology, Federal University of Technology, Akure, Nigeria

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    Oluwadare Ogunlade, Muritala Abiola Asafa, Joseph Gbenga Omole, Olusoji Adeola Adalumo. (2018). Jugulometer, a Medical Device: History, Description and Uses in Non-Invasive Assessment of Jugular Venous Pressure. Cardiology and Cardiovascular Research, 2(1), 4-7. https://doi.org/10.11648/j.ccr.20180201.12

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    ACS Style

    Oluwadare Ogunlade; Muritala Abiola Asafa; Joseph Gbenga Omole; Olusoji Adeola Adalumo. Jugulometer, a Medical Device: History, Description and Uses in Non-Invasive Assessment of Jugular Venous Pressure. Cardiol. Cardiovasc. Res. 2018, 2(1), 4-7. doi: 10.11648/j.ccr.20180201.12

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    AMA Style

    Oluwadare Ogunlade, Muritala Abiola Asafa, Joseph Gbenga Omole, Olusoji Adeola Adalumo. Jugulometer, a Medical Device: History, Description and Uses in Non-Invasive Assessment of Jugular Venous Pressure. Cardiol Cardiovasc Res. 2018;2(1):4-7. doi: 10.11648/j.ccr.20180201.12

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  • @article{10.11648/j.ccr.20180201.12,
      author = {Oluwadare Ogunlade and Muritala Abiola Asafa and Joseph Gbenga Omole and Olusoji Adeola Adalumo},
      title = {Jugulometer, a Medical Device: History, Description and Uses in Non-Invasive Assessment of Jugular Venous Pressure},
      journal = {Cardiology and Cardiovascular Research},
      volume = {2},
      number = {1},
      pages = {4-7},
      doi = {10.11648/j.ccr.20180201.12},
      url = {https://doi.org/10.11648/j.ccr.20180201.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ccr.20180201.12},
      abstract = {Jugular venous pressure (JVP) assessment is an important step in cardiovascular examination. JVP is an indirect measure of right atrial pressure / central venous pressure. The desire to measure JVP at bedside, though necessary during physical examination, is not easily achieved in most cases because of the difficulty in application of the two-ruler traditional method for its assessment. Jugulometer, a medical device designed and introduced at Ile-Ife in Nigeria for the purpose of non-invasive measurement of JVP at bedside. It is portable and easy-to-use. It consists of two bars (horizontal and vertical). The horizontal bar is embedded with spirit level while the vertical bar is graduated in centimetre. The two bars are assembled perpendicular to each other with a special mechanism which enable the vertical bar to slide over the horizontal bar without disrupting their perpendicular relationship. Jugulometer simplifies non-invasive measurement of JVP and makes the procedure more reproducible at bedside. This article is a documentation of the description, history of evolution of jugulometer and its uses in cardiovascular medicine and education. In conclusion, jugulometer is a medical device introduced at Ile-Ife in Nigeria to advance the traditional method and skill of non-invasive bedside assessment of jugular venous pressure.},
     year = {2018}
    }
    

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    AU  - Oluwadare Ogunlade
    AU  - Muritala Abiola Asafa
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    AB  - Jugular venous pressure (JVP) assessment is an important step in cardiovascular examination. JVP is an indirect measure of right atrial pressure / central venous pressure. The desire to measure JVP at bedside, though necessary during physical examination, is not easily achieved in most cases because of the difficulty in application of the two-ruler traditional method for its assessment. Jugulometer, a medical device designed and introduced at Ile-Ife in Nigeria for the purpose of non-invasive measurement of JVP at bedside. It is portable and easy-to-use. It consists of two bars (horizontal and vertical). The horizontal bar is embedded with spirit level while the vertical bar is graduated in centimetre. The two bars are assembled perpendicular to each other with a special mechanism which enable the vertical bar to slide over the horizontal bar without disrupting their perpendicular relationship. Jugulometer simplifies non-invasive measurement of JVP and makes the procedure more reproducible at bedside. This article is a documentation of the description, history of evolution of jugulometer and its uses in cardiovascular medicine and education. In conclusion, jugulometer is a medical device introduced at Ile-Ife in Nigeria to advance the traditional method and skill of non-invasive bedside assessment of jugular venous pressure.
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