The Oscillating Component of the Internal Jugular Vein Flow: The Overlooked Element of Cerebral Circulation

The jugular venous pulse (JVP) provides valuable information about cardiac haemodynamics and filling pressures and is an indirect estimate of the central venous pressure (CVP). Recently it has been proven that JVP can be obtained by measuring the cross-sectional area (CSA) of the IJV on each sonogra...

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Main Authors: Francesco Sisini, Eleuterio Toro, Mauro Gambaccini, Paolo Zamboni
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2015/170756
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author Francesco Sisini
Eleuterio Toro
Mauro Gambaccini
Paolo Zamboni
author_facet Francesco Sisini
Eleuterio Toro
Mauro Gambaccini
Paolo Zamboni
author_sort Francesco Sisini
collection DOAJ
description The jugular venous pulse (JVP) provides valuable information about cardiac haemodynamics and filling pressures and is an indirect estimate of the central venous pressure (CVP). Recently it has been proven that JVP can be obtained by measuring the cross-sectional area (CSA) of the IJV on each sonogram of an ultrasound B-mode sonogram sequence. It has also been proven that during its pulsation the IJV is distended and hence that the pressure gradient drives the IJV haemodynamics. If this is true, then it will imply the following: (i) the blood velocity in the IJV is a periodic function of the time with period equal to the cardiac period and (ii) the instantaneous blood velocity is given by a time function that can be derived from a flow-dynamics theory that uses the instantaneous pressure gradient as a parameter. The aim of the present study is to confirm the hypothesis that JVP regulates the IJV blood flow and that pressure waves are transmitted from the heart toward the brain through the IJV wall.
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spelling doaj-art-4f06feaecfd0453592ba3da4e395eb812025-02-03T01:28:25ZengWileyBehavioural Neurology0953-41801875-85842015-01-01201510.1155/2015/170756170756The Oscillating Component of the Internal Jugular Vein Flow: The Overlooked Element of Cerebral CirculationFrancesco Sisini0Eleuterio Toro1Mauro Gambaccini2Paolo Zamboni3Department of Physics and Earth Sciences, University of Ferrara, Via Saragat 1, Ferrara, ItalyLaboratory of Applied Mathematics, DICAM, University of Trento, Via Mesiano 77, 38100 Trento, ItalyDepartment of Physics and Earth Sciences, University of Ferrara, Via Saragat 1, Ferrara, ItalyVascular Diseases Center, University of Ferrara, Via Aldo Moro 8, Cona, 44124 Ferrara, ItalyThe jugular venous pulse (JVP) provides valuable information about cardiac haemodynamics and filling pressures and is an indirect estimate of the central venous pressure (CVP). Recently it has been proven that JVP can be obtained by measuring the cross-sectional area (CSA) of the IJV on each sonogram of an ultrasound B-mode sonogram sequence. It has also been proven that during its pulsation the IJV is distended and hence that the pressure gradient drives the IJV haemodynamics. If this is true, then it will imply the following: (i) the blood velocity in the IJV is a periodic function of the time with period equal to the cardiac period and (ii) the instantaneous blood velocity is given by a time function that can be derived from a flow-dynamics theory that uses the instantaneous pressure gradient as a parameter. The aim of the present study is to confirm the hypothesis that JVP regulates the IJV blood flow and that pressure waves are transmitted from the heart toward the brain through the IJV wall.http://dx.doi.org/10.1155/2015/170756
spellingShingle Francesco Sisini
Eleuterio Toro
Mauro Gambaccini
Paolo Zamboni
The Oscillating Component of the Internal Jugular Vein Flow: The Overlooked Element of Cerebral Circulation
Behavioural Neurology
title The Oscillating Component of the Internal Jugular Vein Flow: The Overlooked Element of Cerebral Circulation
title_full The Oscillating Component of the Internal Jugular Vein Flow: The Overlooked Element of Cerebral Circulation
title_fullStr The Oscillating Component of the Internal Jugular Vein Flow: The Overlooked Element of Cerebral Circulation
title_full_unstemmed The Oscillating Component of the Internal Jugular Vein Flow: The Overlooked Element of Cerebral Circulation
title_short The Oscillating Component of the Internal Jugular Vein Flow: The Overlooked Element of Cerebral Circulation
title_sort oscillating component of the internal jugular vein flow the overlooked element of cerebral circulation
url http://dx.doi.org/10.1155/2015/170756
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