Pulsation in left side of neck. Pulsating in the neck

Antipyretics for children are prescribed by a pediatrician. But there are emergency situations for fever when the child needs to be given medicine immediately. Then the parents take responsibility and use antipyretic drugs. What is allowed to give to infants? How can you bring down the temperature in older children? What medicines are the safest?

Sharply protruding and tortuous temporal arteries are observed in patients with hypertension and atherosclerosis.

When examining the neck of a patient with aortic valve insufficiency, one can see the pulsation of the carotid arteries (“carotid dance”). In this case, a peculiar phenomenon can be observed, expressed in shaking the head (Musset's symptom). It occurs due to a sharp pulsation of the carotid arteries with differences in maximum and minimum pressure. The symptom of "dance of the carotid" is sometimes combined with the pulsation of the subclavian, brachial, radial and other arteries and even arterioles ("pulsating man"). In this case, it is possible to define the so-called precapillary pulse(Quincke pulse) - rhythmic redness in the systole phase and blanching in the diastole phase of the nail bed with light pressure on its end (Fig. 36, a). The pre-capillary pulse can also be seen on the mucous membrane of the lips when pressing on them with glass (Fig. 36, b) or when rubbing the skin of the forehead, as a result of which the color of the pulsating spot changes from hyperemia to pallor and vice versa.

Rice. 36. Determination of capillary pulse in the area of the nail bed (a) and on the lower lip (b).

In the vertical position of the patient on the neck, sometimes a pulsation and swelling of the jugular veins is detected, which occurs due to difficulty in the outflow of venous blood into the right atrium. If the outflow through the superior vena cava is obstructed, the veins of the head, neck, upper limbs, anterior surface of the body expand and the blood is directed from top to bottom, into the system of the inferior vena cava. If the outflow through the inferior vena cava is obstructed, the veins of the lower extremities, as well as the lateral surfaces of the abdominal wall, expand and the blood is directed upwards into the system of the superior vena cava. If outflow through the portal vein is obstructed, a network of collaterals develops around the navel and blood is directed through the dilated superficial veins into the system of the superior and inferior vena cava.

On the neck, you can notice the pulsation and jugular veins ( venous pulse). Their alternating swelling and collapse reflect pressure fluctuations in the right atrium, depending on the activity of the heart. Slowing of the outflow of blood from the veins to the right atrium with an increase in pressure in it during atrial systole leads to swelling of the veins. The accelerated outflow of blood from the veins into the right atrium with a decrease in pressure in it during ventricular systole causes the veins to collapse. Consequently, during systolic expansion of the arteries, the veins collapse - negative venous pulse.

In a healthy person, swelling of the veins is clearly visible if he is in a supine position. When the position is changed to vertical, the swelling of the veins disappears. However, in cases of insufficiency of the tricuspid valve, exudative and adhesive pericarditis, emphysema, pneumothorax, swelling of the veins in the vertical position of the patient is clearly visible. It is due to stagnation of blood in them. For example, in case of insufficiency of the tricuspid valve, the right ventricle with each contraction ejects part of the blood back into the right atrium, which causes an increase in pressure in it, a slowdown in the flow of blood from the veins into it, and a strong swelling of the jugular veins. In such cases, the pulsation of the latter coincides in time with the systole of the ventricles and the pulsation of the carotid arteries. This so-called positive venous pulse. To identify it, it is necessary to push the blood out of the upper part of the jugular vein with a finger movement and press the vein. If the vein quickly fills with blood, then this indicates its retrograde current during systole from the right ventricle to the right atrium.

Rice. 37. Stokes collar (according to A. L. Myasnikov, 1956).

A sharp expansion of the veins of the neck with its simultaneous sharp edema (Stokes' collar; Fig. 37) is caused by compression of the superior vena cava.

Expansion of skin veins in the area of the manubrium of the sternum and anterior wall chest observed with tumors of the mediastinum, squeezing deep veins.

Pronounced pulsation in the epigastric region can occur due to contraction of the enlarged and hypertrophied right ventricle (cardiac shock) or pulsation of the abdominal aorta. In this case, the pulsation caused by the right ventricle is better seen under the most xiphoid process, especially with a deep breath, in the standing position of the subject. The pulsation of the abdominal aorta is more clearly visible somewhat lower than the previous one in the patient's supine position, especially on exhalation.

Pulsation of the liver is transfer and true. The first is due to the transmission of heart contractions to the liver. In this case, the entire mass of the liver moves in one direction. True pulsation is expressed in the alternation of an increase (swelling) and a decrease in the volume of the liver. It is observed, for example, with insufficiency of the aortic valves, and the swelling of the liver coincides in time with the apex beat. In this case, the pulsation of the liver is arterial. With tricuspid valve insufficiency, a true venous pulsation of the liver is noted, which occurs as a result of regurgitation (reverse flow) of blood through an open opening from the right ventricle to the right atrium, and from there to the inferior vena cava and hepatic veins. The latter causes swelling of the liver.

1. How to distinguish by palpation the pulsation of the internal jugular vein from the pulse on the carotid artery?

Normally, the jugular venous pulse is not palpable.

If the venous pressure is extremely high, then in some cases you can feel gentle wave-like vibrations with your fingers.

Note:

A. Supraclavicular pressure stops the jugular pulsation but never eliminates the carotid pulsation.

However, there is one subtlety here that should be remembered. Very high and strong pulsation of the jugular vein does not disappear with pressure on the lower region of the supraclavicular space. In order to stop the high-amplitude pulsation of the jugular vein at high venous pressure, it is necessary to press at least the middle of the neck (Fig.

Why does neck vein swell?

Rice. 8. Very intense jugular pulsation does not disappear with pressure directly above the clavicle, possibly because the tendon of the sternocleidomastoid muscle prevents adequate clamping of the jugular vein

b. Sudden and sharp pressure on the abdomen instantly makes the jugular pulsation more noticeable, but has no effect on the pulsation of the carotid artery.

How can the jugular pulsation be distinguished from the pulsation of the carotid artery by the contour of the pulse wave?

If the most pronounced rapid push is inward (i.e., represents a collapse), then the jugular veins are the source of the pulsation. The most extensive and fastest pulse movements on the carotid artery are directed outward.

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Pulsation (lat. pulsatio, from pulsus - push) is a jerky vibration of the walls of blood vessels, the heart and adjacent tissues. Distinguish between physiological and pathological pulsation.

Pathological pulsation of the heart and blood vessels in the chest area, epigastric and hepatic pulsation are of diagnostic value.

A pronounced pulsation of the aorta can be detected in the I or II intercostal space to the right of the sternum with cicatricial wrinkling of the right lung or due to a sharp expansion of the ascending aorta (see Aortic Aneurysm). Pulsation of the aorta can also be determined in the jugular fossa with sclerotic elongation of the aorta and with expansion or aneurysm of its arch.

With an aneurysm of the innominate artery, a "pulsating tumor" is noted in the region of the sternoclavicular joint. The pulsation of the pulmonary artery is determined in the II intercostal space on the left in case of wrinkling of the left lung or with expansion of the pulmonary artery (hypertension in the pulmonary circulation).

Tumors in contact with the heart or large vessels can cause an abnormal pulsation in the chest area.

A sharp displacement of the heart in diseases of the respiratory system and a change in the location of the diaphragm leads, due to the displacement of the cardiac and apical impulse, to the appearance of an unusual pulsation in the chest area: in the III, IV intercostal spaces on the left with a significant wrinkling of the left lung and a high position of the diaphragm, in the III-V intercostal spaces behind the left midclavicular line with accumulation of fluid or gas in the right pleural cavity, on the right in the IV-V intercostal space along the edge of the sternum with wrinkling of the right lung, with left-sided pneumo- or hydrothorax or dextrocardia.

The descent of the diaphragm in emphysema can lead to a shift of the apex beat down and to the right.

On the neck, arterial and venous pulsation are distinguished. Increased pulsation of the carotid arteries is observed with aortic valve insufficiency, aortic aneurysm, diffuse thyrotoxic goiter, arterial hypertension.

The single-wave pulsation of the jugular veins in pathological conditions can be both presystolic and systolic (positive venous pulse). The exact nature of the pathological pulsation of the veins is determined on the phlebogram (see). On examination, one can usually see a pronounced pulsation in the form of one wave, less often two, after atrial contraction (presystolic) or synchronously with ventricular systole (systolic).

The most typical systolic pulsation of the jugular veins with simultaneous systolic pulsation of the enlarged liver with tricuspid valve insufficiency. Presystolic pulsation occurs with complete heart block, stenosis of the right venous opening, sometimes with atrioventricular rhythm and paroxysmal tachycardia.

Epigastric pulsation can be caused by contractions of the heart, abdominal aorta, liver.

The pulsation of the heart in this area is visible with a low standing of the diaphragm and a significant increase in the right heart. Pulsation of the abdominal aorta can be seen in healthy lean people with a flaccid abdominal wall; more often, however, it occurs in the presence of tumors abdominal cavity in contact with the abdominal aorta, and sclerosis or aneurysm of the abdominal aorta. Hepatic pulsation is best determined by palpation right lobe liver. The true pulsation of the liver has an extensive character and is manifested by a rhythmic increase and decrease in the volume of the liver due to the changing filling of its vessels with blood (see Fig.

heart defects). Visible to the eye pulsation of the liver is determined by hemangioma.

Pathological pulsation of the arteries is observed when the walls of blood vessels thicken and cardiac activity increases in various pathological conditions of the body.

Graphic recording of the pulsation with the help of multichannel devices allows you to more accurately determine its nature.

What causes a vein in the neck to pulsate and what to do

Swelling of the veins, accompanied by a pulsation noticeable from the side, that suddenly appeared in the submandibular region is a symptom that requires close attention, and sometimes the help of a qualified doctor.

About what to do if a vein in the neck pulsates, and what it can signal - further.

Causes

In an absolutely healthy person who does not have serious problems with health, pulsation can occur after high-intensity physical exertion.

In some patients, nervosa manifests itself in this way, while in others, the vein begins to pulsate as a reaction to severe stress.

With disease of the veins, heart, blood vessels or other internal organs the symptoms are not associated, as a rule, there is no danger in case of a single occurrence. If you notice a connection between stress and pulsation of the veins, you can consult a neurologist.

The main cause of pulsation of the veins in the neck: heart failure in the right ventricle, accompanied by venous blood stasis in the systemic circulation.

At the same time, the vein does not just pulsate, it swells and expands.

When a pulse wave appears on the neck, it is not only well palpable - it can be seen from the side.

Why is this happening

Pulsating jugular veins can occur with the following health problems:

Thrombosis of large venous trunks.
Arrhythmia.
Heart or vascular disease (congenital or acquired).
Pericarditis.
Heart failure.
Emphysema of the lungs.
Mechanical effect on the superior vena cava (it happens with tumors or severe inflammation of neighboring organs).
Goiter located behind the sternum.
Aneurysm thoracic aorta.
Atherosclerosis of the thoracic aorta.
Some other issues.

What to do

If you notice that the pulsation of the vein in the neck began to occur at a regular frequency, this is an alarm signal.

A doctor's consultation is a must.

For the diagnosis and treatment of these symptoms are responsible: therapist and cardiologist. They can refer you to narrower specialists, which include a rheumatologist, endocrinologist, oncologist, cardiac surgeon, pulmonologist.

Study

The primary study with complaints of the patient that the vein in the neck is pulsating is a palpation examination.

The doctor evaluates:

central venous pressure;
venous pulse.

Note that the pulsation can be caused by violations of the outflow of blood in the veins (venous) or in the arteries (arterial).

The doctor determines this during the initial examination.

One or more of the following tests may be needed to establish a more accurate diagnosis:

MRI with contrast;
Ultrasound of the neck and chest;
puncture;
duplex scanning of cervical vessels;
multislice CT scan of the cervical and thoracic regions;
Skull CT.

It is important to know: often the problem affects overweight people, so the doctor also pays attention to the patient's complexion.

Pulsation in the head and neck: all possible causes, features, what and how to be treated?

How is the presence of fat related to the pulsation of the veins?

Adipose tissue directly affects cardiovascular system: on the one hand, fat is deposited around the heart, making it difficult to work; on the other hand, the heart has to work much harder, because the tissues in the body complete man much more and more blood needs to be transferred as well.

Treatment

The pulsation of the veins in the neck is only a symptom, not an independent disease, therefore, when the final cause of the symptoms is identified and the diagnosis is made, the doctor treats the underlying disease.

When neoplasms are detected, therapy is aimed at their removal.

Heart failure and arrhythmias are treated with lifelong medication. With aneurysm, atherosclerosis, and some other problems, the doctor may decide to perform an operation, but this practice is used if the vessels are severely pinched or clogged, which interferes with normal blood circulation.

If you notice a pulsating area on your neck once or twice, this does not mean that there is a serious danger to your health.

But regularly occurring pulsation is a symptom that you should definitely tell the doctor about, even if nothing else bothers you.

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Observation of the nature of the pulsation of the veins of the neck

According to the level and nature of the pulsation of the neck veins, one can judge the state of the right heart. The pulsation of the internal jugular vein on the right reflects the state of hemodynamics most accurately. External jugular veins may be dilated or collapsed due to extracardiac influences - compression, venoconstriction. Although the right internal jugular vein is not visible, its pulsation is judged by the fluctuation of the skin over the right clavicle - from the supraclavicular fossa to the earlobe, outward from the carotid artery.

Observation is carried out with the patient lying down with the body elevated - by 30-45 °, the neck muscles should be relaxed (Fig. 6).

Rice. 6. Visual determination of CVP (in a patient CVP = 5 cm + 5 cm = 10 cm water column)

Normally, pulsation is noticeable only in the region of the right supraclavicular fossa.

For each pulsation of the carotid artery, a double oscillation of the venous pulse is noted. In contrast to the pulsation of the carotid arteries, the pulsation of the vein is smoother, is not felt during palpation and disappears if the skin is pressed over the collarbone.

At healthy people in a sitting or standing position, the pulsation of the veins of the neck is not visible. According to the upper level of pulsation of the right internal jugular vein, one can roughly determine the value of the CVP: the angle of the sternum is located at a distance of about 5 cm from the center of the right atrium, therefore, if the upper level of pulsation is not higher than the angle of the sternum (only in the supraclavicular fossa), the CVP is 5 cm of water column, if the pulsation is not visible - CVP is below 5 cm of water.

Art. (in these cases, the pulsation is noticeable only when horizontal position body), if the level of pulsation is higher than the angle of the sternum, to determine the CVP, 5 cm is added to the value of this excess, for example, if the upper level of pulsation exceeds the level of the sternum angle by 5 cm, the CVP is 10 cm (5 cm + 5 cm) of water.

Art. Normally, CVP does not exceed 10 cm of water. Art. If the pulsation of the cervical veins is noticeable in the sitting position, the CVP is significantly increased, at least 15-20 cm of water.

Art.
The venous pulse normally consists of two rises (positive waves "a" and "V") and two

When observing the pulsation of the jugular veins, it is easiest to identify:
1. Increased CVP - a clearly visible pulsation of the veins of the neck in a sitting position, usually swelling of the external veins of the neck.
2. A sharp decrease in CVP (hypovolemia) in patients with a clinical picture of collapse or shock - the absence of pulsation of the neck veins and the collapse of the saphenous veins, even in a horizontal position.
3.

Atrial fibrillation - the absence of wave "a" of the venous pulse.
4.

Throbbing neck

Atrioventricular dissociation - irregular "giant" waves of the venous pulse.

When pressing the palm on the abdomen in the right hypochondrium, the so-called hepatojugular reflux is noted - an increase in the level of pulsation of the veins of the neck. Normally, this increase is short-term, and in patients with congestive heart failure, it persists during the entire time of pressure on the liver area.

Determination of hepatojugular reflux is carried out in patients with normal CVP, for example, after taking diuretics.

Right heart failure is also a very common cause of swelling and pulsation of the neck veins. With this disease, there is a stagnation of blood flow to the areas great circle circulation. Stressful situations, increased tension can exacerbate symptoms.

Additional reasons

Also, the causes of severe swelling and pulsation of the veins in the neck can be its various injuries, skull injuries, spinal injuries and spinal cord, prolonged stay in an uncomfortable position, tumors of the internal organs of a person, as well as endocrine diseases.

Manifestations of swelling of the veins

The main signs of swelling and pulsation of the neck veins are: Noticeable slow pulsation and slight swelling of the neck veins near the jaw; strong swollen neck veins during the entry of oxygen into the lungs; Neck swelling may occur.

Treatment of swelling and pulsation of the veins in the neck

If you find swollen veins and their pulsation in the neck, you do not need to immediately start to panic. Relax, get into a comfortable position for your body and just rest for a while. If the symptoms and discomfort have disappeared and have not bothered you for several days, then swelling and pulsation most likely occurred due to overexertion, stress, a nervous breakdown, and similar factors.

The need to visit a doctor

If such uncomfortable sensations occur constantly and do not stop for a long period of time, then you need to contact a specialist. He will conduct the necessary diagnostics and examination, find out the cause and prescribe the appropriate treatment. In any case, self-treatment in such a situation is categorically not recommended.

14. Determining the type of breathing, symmetry, frequency, depth of breathing, respiratory excursion of the chest.

15. Palpation of the chest. Determination of soreness, elasticity of the chest. Determination of voice trembling, the reasons for its amplification or weakening.

16. Percussion of the lungs. Physical substantiation of the method. percussion methods. Types of percussion sound.

17. Definition of the Traube space, its diagnostic value.

18. Comparative percussion of the lungs. The distribution of the sonority of the percussion tone in various places of the chest is normal. Pathological changes in percussion sound.

19. Topographic percussion of the lungs. Determination of the upper and lower boundaries of the lungs, their location is normal. Determination of the excursion of the lower edge of the lungs.

20. Auscultation of the lungs, basic rules. Basic breath sounds. Changes in vesicular breathing, (weakening and strengthening, saccadic, hard breathing).

21. Pathological bronchial breathing, its causes and diagnostic value. Bronchovesicular respiration, the mechanism of its occurrence.

22. Adverse breath sounds, mechanism of their occurrence, diagnostic value.

23. Bronchophony, method of determination, diagnostic value

25. Pleural puncture, its technique, indications and contraindications. Examination of pleural effusion, its types. Interpretation of analyses.

26. Basic methods for assessing the functional state of the respiratory system (spirography, pneumotachometry, pneumotachography, determination of Pa o2 and PaCo2 in arterial blood).

27. Spirography, main lung volumes. Pneumotachometry, pneumotachography.

28 Bronchoscopy, indications, contraindications, diagnostic value

29. Methods of functional diagnostics of the restrictive type of ventilation disorders.

30. Methods for diagnosing broncho-obstructive syndrome.

31. Examination of a heart patient. Appearance of patients with heart failure. Objective signs due to stagnation of blood in the small and large circles of blood circulation.

32. Inspection of neck vessels. Diagnostic value of the "dance of the carotid", swelling and pulsation of the veins (negative and positive venous pulse). Visual definition of cvd.

33. Examination of the region of the heart (cardiac and apex beat, cardiac hump, epigastric pulsation).

34. Palpation of the heart area. Apical, cardiac impulse, epigastric pulsation, systolic and diastolic trembling, palpation of the great vessels. diagnostic value.

Projections and auscultation points of the heart valves.

Rules for auscultation of the heart:

37. Murmurs of the heart, the mechanism of their occurrence. Organic and functional noises, their diagnostic value. Auscultation of heart murmurs.

General patterns:

38. Auscultation of arteries and veins. The noise of the top on the jugular veins. Double tone Traube. Pathological murmur Durozier.

52. Superficial palpation of the abdomen, technique, diagnostic value.

53. Method of deep sliding palpation of the abdomen. diagnostic value.

54. Acute abdomen syndrome

56. Methods for detecting Helicobacter pylori. Questioning and examination of patients with intestinal diseases.

57. General ideas about the methods of studying the absorption of fats, proteins and carbohydrates in the intestine, syndromes of indigestion and absorption.

58. Scatological examination, diagnostic value, main scatological syndromes.

60. Percussion and palpation of the liver, determination of its size. Semiological significance of changes in the edge, surface of the liver consistency.

61. Percussion and palpation of the spleen, diagnostic value.

62. Laboratory syndromes in liver diseases (syndromes of cytolysis, cholestasis, hypersplenism).

63. Immunological research methods in liver pathology, the concept of markers of viral hepatitis

64. Ultrasound examination of the liver, spleen. diagnostic value.

65. Radioisotope methods for studying the function and structure of the liver.

66. Study of the excretory and neutralizing functions of the liver.

67. Study of pigment metabolism in the liver, diagnostic value.

68. Methods for studying protein metabolism in the liver, diagnostic value.

69. Preparation of patients for x-ray examination of the stomach, intestines, biliary tract.

70. Research methods for diseases of the gallbladder, palpation of the gallbladder area, evaluation of the results. Identification of bladder symptoms.

71. Ultrasound examination of the gallbladder, common bile duct.

72. Duodenal sounding. Interpretation of the results of the study. (option 1).

72. Duodenal sounding. Interpretation of the results of the study. (option 2. Textbook).

73. X-ray examination of the gallbladder (cholecystography, intravenous cholegraphy, cholangiography, the concept of retrograde cholangiography).

74. Methods of examination of the pancreas (questioning, examination, palpation and percussion of the abdomen, laboratory and instrumental research methods).

75. General ideas about endoscopic, X-ray, ultrasound methods for examining the gastrointestinal tract. (Stupid question - stupid answer).

89. Methods for diagnosing diabetes mellitus (questioning, examination, laboratory and instrumental methods of research).

90. Determination of glucose in blood, urine, acetone in urine. Glycemic curve or sugar profile.

91. Diabetic coma (ketoacidotic), symptoms and emergency care.

92. Signs of hypoglycemia and first aid in hypoglycemic conditions.

93. Clinical signs of acute adrenal insufficiency. Principles of emergency care.

94. Rules for the collection of biological materials (urine, feces, sputum) for laboratory research.

1. Urine examination

2.Sputum examination

3. Examination of feces

96. Methods of examination of patients with pathology of the hematopoietic organs (questioning, examination, palpation, percussion, laboratory and instrumental methods of research).

1. Inquiry, complaints of the patient:

2.Inspection:

B. Enlarged lymph nodes

D. Enlargement of the liver and spleen

3. Palpation:

4.Percussion:

5. Laboratory research methods (see Questions No. 97-107)

6. Instrumental research methods:

97. Methods for determining Hb, counting red blood cells, clotting time, bleeding time.

98. Leukocyte count and leukocyte formula.

99. Methodology for determining the blood group, the concept of the Rh factor.

II (a) groups.

III (c) groups.

100. Diagnostic value of a clinical study of a complete blood count

101. The concept of sternal puncture, lymph node and trepanobiopsy, interpretation of the results of the study of bone marrow punctate.

102. Methods for studying the blood coagulation system

103. Hemorrhagic syndrome

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105. General ideas about the coagulogram.

108. Examination of the musculoskeletal system, joints

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127. Pulmonary edema, clinical picture, emergency care.

128. Emergency care for biliary colic.

129. Emergency care for acute urinary retention, bladder catheterization.

A sharp expansion of the veins of the neck with its simultaneous sharp edema (Stokes' collar) is caused by compression of the superior vena cava.

Visible expansion of the jugular veins in standing and sitting positions indicates elevated venous pressure in patients with right ventricular heart failure, constrictive pericarditis, pericardial effusion, and superior vena cava syndrome.

Visible carotid pulsation may occur in patients with aortic regurgitation, hypertension, hyperthyroidism, and severe anemia.

Observation of the nature of the pulsation of the veins of the neck

Rice. 6. Visual determination of CVP (in a patient CVP = 5 cm + 5 cm = 10 cm water column)

Normally, pulsation is noticeable only in the region of the right supraclavicular fossa. For each pulsation of the carotid artery, a double oscillation of the venous pulse is noted. In contrast to the pulsation of the carotid arteries, the pulsation of the vein is smoother, is not felt during palpation and disappears if the skin is pressed over the collarbone. In healthy people, in a sitting or standing position, the pulsation of the neck veins is not visible. According to the upper level of pulsation of the right internal jugular vein, one can roughly determine the value of the CVP: the angle of the sternum is located at a distance of about 5 cm from the center of the right atrium, therefore, if the upper level of pulsation is not higher than the angle of the sternum (only in the supraclavicular fossa), the CVP is 5 cm of water column, if the pulsation is not visible - CVP is below 5 cm of water. Art. (in these cases, the pulsation is noticeable only when the body is in a horizontal position), if the level of pulsation is higher than the angle of the sternum, to determine the CVP, 5 cm is added to the value of this excess, for example, if the upper level of the pulsation exceeds the level of the angle of the sternum by 5 cm - the CVP is 10 cm ( 5 cm + 5 cm) aq. Art. Normally, CVP does not exceed 10 cm of water. Art. If the pulsation of the cervical veins is noticeable in the sitting position, the CVP is significantly increased, at least 15-20 cm of water. Art. The venous pulse normally consists of two rises (positive waves "a" and "V") and two

When observing the pulsation of the neck veins, it is easiest to identify: 1. An increase in CVP - a clearly visible pulsation of the neck veins in a sitting position, usually swelling of the external veins of the neck. 2. A sharp decrease in CVP (hypovolemia) in patients with a clinical picture of collapse or shock - the absence of pulsation of the neck veins and the collapse of the saphenous veins, even in a horizontal position. 3. Atrial fibrillation - the absence of wave "a" of the venous pulse. 4. Atrioventricular dissociation - irregular "giant" waves of the venous pulse.

Most often, the feeling of pulsation in healthy people is provoked by stress, strong emotions, physical overload, or a sudden change in the weather. In these cases, discomfort is short-lived and goes away on its own.

At the same time, pulsation accompanies migraine, atherosclerosis, autonomic dysfunction and many other diseases, bringing the patient a lot of discomfort and unrest. It can be considered an alarming symptom, since without an examination it is impossible to say what exactly it is caused by and whether it really does not indicate pathology. The reason is relatively harmless - autonomic dysfunction (VSD), for example, or very serious - a tumor, aneurysm.

Pulsation in the head can occur with noise, ringing in the ears, dizziness, panic attacks, it occurs in its various areas - the temples, the back of the head, in one half. Pathological pulsation can be long, repeated many times, and this is exactly the case when you should go to a doctor - a neurologist or therapist.

It is also possible pulsation of the cervical vessels, which may be physiological or associated with their atherosclerotic lesions, heart defects, arrhythmia, arterial hypertension. In this case, an examination is also necessary to exclude the pathological nature of the pulsation.

Causes of pulsation of the vessels of the head

The causes of pulsation in the head are extremely diverse. Among them are those diseases that are more susceptible to aged people, and those that occur in young people, proceeding for the time being asymptomatically. By the nature of the pulsation of the vessels, it is impossible to determine the exact cause of the appearance of this symptom. After a conversation with the patient and a simple examination, the specialist can only assume the pathology that provokes vascular disorders, and additional instrumental examinations will help clarify it.

Pulsation in the head accompanies such diseases as:

Autonomic dysfunction (vegetative-vascular dystonia (VVD);
Degenerative changes in the cervical spine - hernia, osteochondrosis, instability, congenital developmental features;
Vascular wall lesions - atherosclerosis, vasculitis;
Aneurysm, vascular malformation;
Neoplasms of the head and neck;
ENT pathology;
Glaucoma, incorrectly selected glasses;
Postponed craniocerebral trauma;
Neuroses, neurasthenia and other psychiatric problems.

Arterial hypertension is one of the most common causes pulsations in the head. This disease is also very common among people of mature and old age, for whom throbbing in the head is a well-known symptom.

With hypertension, arteries and arterioles are primarily affected, which from constant high pressure spasm, resulting in impaired blood flow in the brain. Against the background of a sharp rise in pressure - a crisis - the patient feels a pulsation in the temples, pain in the back of the head, dizziness and tinnitus are possible. The higher the pressure figure, the more obvious and painful the throbbing feeling, but as the pressure decreases to normal, the symptoms gradually disappear.

Autonomic dysfunction is common among young adults, children, and adolescents. More often, females suffer from a violation, while the regulation of vascular tone by the autonomic nervous system is disrupted, resulting in fluctuations in systolic pressure, pulse, and it is quite possible that a pulsating feeling even in the throat occurs.

Pulsation against the background of autonomic dysfunction is provoked by stress, emotional experiences, physical overload and overwork. Smoking and alcohol abuse have a negative effect.

Pulsation with VVD occurs without pain, but is often accompanied by other signs of a vegetative disorder - sweating, redness of the face, discomfort and rumbling in the abdomen, cardialgia, a feeling of lack of air with increased respiration, weakness and decreased performance, low-grade fever. Mood swings are also panic attacks, which often help diagnose the cause of the pulsation.

Degenerative changes in the spine can be detected in almost every second adult inhabitant of the planet. Such a wide spread of pathology contributes to a sedentary lifestyle, sedentary work, excess weight. Herniated discs, anomalies in the development of the bone processes of the vertebrae, osteochondrosis cause compression of blood vessels and nerves, resulting in pain and pulsation in the back of the head, parietal areas. Pulsations are accompanied by numbness in the limbs, pain in the neck, fluctuations in blood pressure.

cerebral arteriosclerosis

Structural changes in the vascular walls in the form of atherosclerosis, inflammation (vasculitis) can cause narrowing of their lumen and hemodynamic disturbances. When an artery is stenotic by an atherosclerotic plaque by half, the brain begins to experience hypoxia even with the active work of the collateral blood flow pathways. Patients with atherosclerosis of the arteries of the head complain not only of a feeling of pulsation, but also of noise, ringing in the ears and head, decreased memory and mental performance, they are prone to depression and apathy.

Inflammation of the vascular wall is called arteritis. It may be a consequence autoimmune disease, trauma, surgery, infectious disease. In the acute period of vasculitis, there is a pulsation with intense headache, general weakness, and possibly anxiety.

An aneurysm or arteriovenous malformation is considered an extremely dangerous cause of pulsation of the vessels of the head. An aneurysm is a tangle of pathologically developed vessels that can be located in any part of the brain. Arterio-venous malformation - interweaving of arterial and venous dysplastic vessels. These formations are almost always congenital in nature, they are asymptomatic for a long time and can be manifested by periodic throbbing pain in a certain part of the head - in the temples, occiput, crown.

Since vascular anomalies are accompanied by a violation of the structure of the walls of the vessels that form them, under certain conditions they can rupture - with a pressure surge, trauma, severe stress. The rupture of blood vessels turns into a hemorrhage into the substance of the brain or under its membranes, which is often fatal.

The feeling of pulsation depends on the size of the aneurysm - the larger it is, the more clearly the patient feels the pulsation. Small aneurysms may not cause pain, but throbbing symptoms are usually bothersome. In addition to pulsation, other signs of malformation are also possible: noise in the head, memory loss, anxiety, with large aneurysms - convulsions.

Pulsation without other symptoms may accompany small neoplasia, which put pressure on the vessels from the outside and make it difficult for blood to flow through them. More often it appears in the morning and increases as the tumor grows. Pulsation in the head may be one of the first symptoms of tumor growth.

Inflammatory processes of the ENT organs, accompanied by the accumulation of exudate there, can manifest themselves as pulsating sensations in the head, a feeling of fluid transfusion from the affected ear. In addition, patients are concerned about headaches, noise, whistling in the head, progressive hearing loss.

Glaucoma, incorrectly selected glasses or refusal of them with insufficient visual acuity create not only negative sensations in the eyes, provoke even greater vision problems, dizziness and a feeling of lightheadedness, but can also cause pulsation in the temples, frontal zone.

Such a pulsation becomes more noticeable with an increase in intraocular pressure, eye strain when working with a computer, reading, it is accompanied by a headache.

Pulsation in the head in some cases accompanies craniocerebral trauma. In the acute phase, it is combined with a severe headache, vomiting, convulsions, and in severe cases, consciousness is also disturbed. The consequence of an injury can be recurring bouts of pain and throbbing in the head.

A variety of neurotic disorders, schizophrenia and other psychiatric diseases often occur with a pulsation in the head, which the patient can describe very colorfully, clearly defining the place of its localization, which can make diagnosis difficult, because it is quite difficult to check whether the patient is telling the truth.

Neurasthenia is a borderline disorder that is provoked by stress, overwork, improper work and rest regimen, and individual characteristics of emotional response. chronic stress nervous system sooner or later leads to its depletion, and the person turns into a neurasthenic patient who complains of constant fatigue, insomnia or drowsiness, irritability, reduced appetite and bad mood. In addition to these complaints, a pulsation in the head, soreness, noise, which are aggravated against the background of emotional experiences, are also characteristic.

In the case of schizophrenia and other psychotic disorders, the situation is more complicated: vague pulsations and noise can be part of the hallucinations that the patient experiences, and in addition to a vivid description of the symptoms, the doctor is often faced with their exaggeration, which makes it difficult to objectively assess the symptoms.

Throbbing in the neck

Pulsation in the neck often acquires great diagnostic value in a variety of vascular and cardiac pathologies, but it can also be normal. Fluctuations in the walls of blood vessels are visible to the naked eye in lean adults, crying children, but this does not necessarily indicate a disease, but it always requires clarification of the cause if the pulsation becomes constant and clearly visible to others, accompanies headaches or arrhythmias.

On the neck, both venous pulsation, most often associated with heart problems, and pulsation of the arteries with damage to the vascular walls proper, hypertension, etc., are possible.

Pulsation of the cervical arteries

The most likely causes of a very noticeable arterial pulsation are an aortic aneurysm (local expansion of the lumen of the vessel), formed in its initial section, arch, thoracic part, arterial hypertension, thyrotoxicosis with tachycardia and hypertensive crises, insufficiency of the aortic valve, when part of the blood returns to the left ventricle, creating an additional pulsation of the carotid arteries and their branches, visible to the naked eye.

Failure aortic valve can occur in older people with atherosclerosis, after suffering rheumatism or syphilitic damage to the vascular wall and valve. This vice is quite feature- the so-called "dance of the carotid", when the carotid arteries on the lateral surface of the neck contract synchronously with the rhythm of the heart. In addition to the sleepy ones, the temporal, brachial arteries, vessels of the hands and even the feet also pulsate with aortic valve insufficiency. Against the background of the pulsation of the carotid arteries, shaking movements of the head appear in time with the beating of the heart.

Pulsation of neck veins

Such defects as tricuspid valve insufficiency, narrowing of the mouth of the superior vena cava, as well as severe arrhythmias (paroxysmal tachycardia, complete AV blockade) provoke pulsation of the neck veins, however, it can also be noticed under severe stress and excitement.

Pulsation of the cervical venous trunks often accompanies pathology that occurs with an increase in central venous pressure. In healthy people, the pulsation of the veins can also be traced on the lateral surface of the neck 4 cm above the angle of the sternum, but only in the supine position with the head of the bed raised. When standing up, the venous pulsation normally disappears, and if it persists, then one can think about the pathology of the right half of the heart with its expansion and the formation of stagnation in the veins of the systemic circulation.

Venous congestion in the neck is accompanied by an expansion of the lumen of the vessels, their swelling and a pulsation that is visible to the eye, corresponding to heart contractions, which is considered a consequence of the return of venous blood from the ventricle to the atrium through an incompetent tricuspid valve.

The pulsation of the veins of the neck can be called a positive venous pulse; it differs from the vibrations of the walls of the carotid arteries with less force and the inability to feel it when palpated. Clinical pulsation of the neck veins manifests itself:

Swelling and pulsating vibrations venous walls on the neck to the lower jaw;
Expansion of the lumen of the veins during inspiration, pressure on the right hypochondrium;
Combination with swelling of the tissues of the neck, pulsating heart beats, pulsation in the epigastric region.

The most likely causes of pulsation of the venous vessels of the neck are heart defects, especially tricuspid valve insufficiency, pericarditis, heart failure with congestion in the venous region, hemotamponade, pulmonary pathology (emphysema, pneumothorax), superior vena cava syndrome, large retrosternal goiter.

What to do with pulsating sensations in the head or neck?

The pulsation in the head and neck cannot but disturb. Arising for the first time and unexpectedly, it can lead to panic and severe fear, because this symptom can indicate a number of serious diseases. Patients with migraine or VVD may well get used to repetitive pulsation, not perceiving it as a symptom of a dangerous pathology, but this does not exempt from the need to visit a doctor.

Regardless of the cause, which the patient may even assume, pulsation in the head or neck should be the reason for consultation with a specialist and examination. With such symptoms, you should go to a therapist, neurologist, phlebologist (with venous pulsation in the neck). The therapist can send for a consultation with a cardiologist, endocrinologist, psychiatrist, ophthalmologist, oncologist, depending on other complaints and the result of the initial examination.

When talking with a doctor, it is important to clarify at what time of day the pulsation appears, whether it is associated with nervous or physical stress, weather changes, or the phase of the woman's menstrual cycle. In addition to pulsation, other symptoms, if any, should be described (pain, dizziness, etc.).

With a pulsation in the head, an MRI, angiography, ultrasound with dopplerometry of the vascular trunks of the head and neck, radiography of the cervical spine, and encephalography are indicated. Venous pulsation often requires phlebography, echocardiography, ECG. The exact list of examinations is compiled by a therapist or neurologist, suspecting the specific causes of the pulsation.

Treatment for pulsation in the head and neck may include the appointment of analgesics, antihypertensives, vascular drugs and nootropics, and in some cases, surgery is necessary - removal of a tumor, aneurysm, implantation of an artificial heart valve. All patients with such a symptom are recommended to normalize the regimen, eliminate stress and physical overload, observe a balanced diet and physical activity.

SHEIA.RU

Pulsating vein in the neck

What causes a vein in the neck to pulsate and what to do

Causes

In an absolutely healthy person who does not have serious health problems, pulsation may occur after high-intensity physical exertion. In some patients, nervosa manifests itself in this way, while in others, the vein begins to pulsate as a reaction to severe stress. With a disease of the veins, heart, blood vessels or other internal organs, the symptoms are not associated, as a rule, there is no danger in a single occurrence. If you notice a connection between stress and pulsation of the veins, you can consult a neurologist.

The main cause of pulsation of the veins in the neck: heart failure in the right ventricle, accompanied by venous blood stasis in the systemic circulation.

At the same time, the vein does not just pulsate, it swells and expands.

When a pulse wave appears on the neck, it is not only well palpable - it can be seen from the side.

Why is this happening

Pulsating jugular veins can occur with the following health problems:

Thrombosis of large venous trunks.
Arrhythmia.
Heart or vascular disease (congenital or acquired).
Pericarditis.
Heart failure.
Emphysema of the lungs.
Mechanical effect on the superior vena cava (it happens with tumors or severe inflammation of neighboring organs).
Goiter located behind the sternum.
Aneurysm of the thoracic aorta.
Atherosclerosis of the thoracic aorta.
Some other issues.

What to do

If you notice that the pulsation of the vein in the neck began to occur at a regular frequency, this is an alarm signal.

A doctor's consultation is a must. For the diagnosis and treatment of these symptoms are responsible: therapist and cardiologist. They can refer you to narrower specialists, which include a rheumatologist, endocrinologist, oncologist, cardiac surgeon, pulmonologist.

Study

The primary study with complaints of the patient that the vein in the neck is pulsating is a palpation examination.

Note that the pulsation can be caused by violations of the outflow of blood in the veins (venous) or in the arteries (arterial). The doctor determines this during the initial examination.

One or more of the following tests may be needed to establish a more accurate diagnosis:

MRI with contrast;
Ultrasound of the neck and chest;
puncture;
duplex scanning of cervical vessels;
multislice CT scan of the cervical and thoracic regions;
Skull CT.

It is important to know: often the problem affects overweight people, so the doctor also pays attention to the patient's complexion. How is the presence of fat related to the pulsation of the veins?

Adipose tissue directly affects the cardiovascular system: on the one hand, fat is deposited around the heart, making it difficult for it to work; on the other hand, the heart has to work much harder, because there are much more tissues in the body of a full person and more blood needs to be transferred.

Treatment

When neoplasms are detected, therapy is aimed at their removal. Heart failure and arrhythmias are treated with lifelong medication. With aneurysm, atherosclerosis, and some other problems, the doctor may decide to perform an operation, but this practice is used if the vessels are severely pinched or clogged, which interferes with normal blood circulation.

If you notice a pulsating area on your neck once or twice, this does not mean that there is a serious danger to your health. But regularly occurring pulsation is a symptom that you should definitely tell the doctor about, even if nothing else bothers you.

Swelling and pulsation of the neck veins

Swelling and pulsation of the jugular veins is characteristic symptom increase in central venous pressure. Normally, in a healthy person, a pulsation of the cervical veins is acceptable, which can be observed in the neck four centimeters above the angle of the sternum. In this case, a person should lie on a bed with its headboard raised at an angle of forty-five degrees. It is with this position of the body that the pressure in the right atrium of the heart corresponds to ten centimeters of the water column. When changing the position of the body to the vertical, the pulsation of the cervical veins should disappear.

Causes and factors of occurrence

The main cause of swelling and pulsation of the jugular veins is right ventricular heart failure with congestion of venous blood in the systemic circulation. At the same time, stagnation in the veins of the neck is manifested by their expansion, swelling and visible systolic pulsation (positive venous pulse). This pulsation occurs as a result of the return (regurgitation) of blood from the right ventricle to the right atrium.

The pulsation of the cervical veins differs from the pulsation of the carotid arteries in a smaller amplitude, the absence of its sensation during palpation. Also hallmark there is a dissonance between the pulsation on the radial artery and the pulsation of the veins on the neck: the pulse on the radial artery is usually weak, while the venous pulse wave is clearly and clearly visible on the neck.

Increased pulsation of the cervical veins and their swelling can be traced in healthy people during stressful situations, neuroses, and excessive physical exertion.

Classification and signs

Signs of swelling and pulsation of the jugular veins are:

visible slow pulsation and swelling of the veins of the neck up to the angle of the lower jaw and even in the sublingual region;
in especially severe cases, swollen and dilated veins can also be found on the back of the hands;
swelling of the veins of the neck during inspiration (Kusmaul symptom);
swelling of the veins of the neck with pressure on the region of the right hypochondrium;
swelling in the neck;
visible pulsation of the heart in the region of the anterior chest wall, epigastrium, liver.

What diseases occurs

Swelling and pulsation of the cervical veins can occur in the following pathological conditions:

congenital and acquired heart and vascular defects (tricuspid valve insufficiency, aortic valve insufficiency);
heart failure;
pericarditis (constrictive, exudative);
cardiac tamponade;
hepatojugular reflux;
severe emphysema;
pneumothorax;
compression of the superior vena cava by a tumor or a pathologically altered adjacent organ;
neoplastic process (tumors) in the mediastinum;
aneurysm or severe atherosclerosis of the thoracic aorta;
retrosternal goiter;
thrombosis of large venous trunks;
arrhythmias (complete transverse heart block, heart rhythm from the atrioventricular node with the occurrence of simultaneous contraction of the ventricles and atria).

Which doctors should be contacted

With the appearance of swelling and pulsation of the veins of the neck, it is necessary to consult a general practitioner, a cardiologist. In the future, you may need to consult a rheumatologist, endocrinologist, pulmonologist, oncologist, cardiac surgeon.

Select the symptoms that bother you, answer the questions. Find out how serious your problem is and whether you need to see a doctor.

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Throbbing neck pain

Discomfort in the neck, pain significantly reduce the quality of human life. You have to limit yourself in movements, reduce your workload. Throbbing neck pain is quite common and affects people over the age of 25. The feeling can be permanent or temporary.

Causes of throbbing pain

Common causes of throbbing neck pain include:

Traumatic lesions of the ligaments, vertebrae, muscles;
Degenerative changes, including osteoarthritis;
Infectious lesions of bone tissue (osteomyelitis);
Evil, benign neoplasms;
Immune disorders, including spondylitis, polymyalgia rheumatica;
Reflected cervicalgia.

Most neck problems are caused by osteochondrosis. The intervertebral discs of the cervical region change, which leads to intense pain. Local vessels and nerve endings also suffer.

As for injuries, the whiplash is the most dangerous. With it, force flexion or extension occurs. Most often occurs in an accident, in sports, fights. Traumatic throbbing pains can also be attributed to the condition after sleeping in an uncomfortable position.

Severe pain in the neck often occurs as a result of metastasis of malignant tumors.

Diagnostic methods

Comprehensive studies may also be required.

Diagnostic accuracy when contacting a competent specialist reaches 100%. Examination, depending on the nature of the problem, costs a lot.

How to identify the causes of neck pain?

With pain in the neck, first of all, you need to contact the doctors of the following specialties:

At the appointment, the doctor will conduct an examination, identify the presence of additional symptoms and draw up a medical history card. To have a complete clinical picture doctor may need results additional research, as well as a complete history of the development of the disease. He will be interested in:

How long ago did the pain start?
What do you attribute the symptoms to?
Have you tried home treatment? What did you take?
Do you have other chronic diseases?

What to do with throbbing pain in the neck?

If you experience significant discomfort, you can go through an online self-diagnosis on our website. Literally one minute will be spent on receiving the alleged diagnosis and recommendations for visiting a specialist. But only a doctor will tell you what to do with throbbing pain in the neck.

For prevention, it is worth using individually selected orthopedic pillows. Collars-corsets will not be superfluous. The doctor of exercise therapy will prescribe therapeutic exercises. With various pathologies, it is extremely important to restore the disturbed blood supply. Primary Treatment includes:

Massage;
Traction traction of the spine;

In some cases, resort to manual therapy, acupuncture.

What is the treatment for neck pain?

Treatment is selected individually. It implies taking analgesics, muscle relaxants, corticosteroids. Your doctor may also suggest:

orthopedic care;
reflex therapy;
Massages;
LLL therapy;
Surgical intervention;
Ultrasound treatment;
Physical education.

Obesity can be called one of the most common problems that Nase suffers from.

Discomfort, localized in the neck and neck, may occur due to multiple.

On lower limbs account for the most intense load when walking and performing bol.

The knee joint is considered one of the largest in the skeleton, and at the same time - the most vulnerable.

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Pulsation of the vessels of the neck

Pulsation is the vibration of the walls of the heart, blood vessels and adjacent tissues. This process is of a natural physiological nature, but in some cases it can be a pathology, indicating the occurrence of certain diseases. Of great diagnostic value is the pulsation of the heart in the chest and vascular pulsation in the neck. The main method of research in this case is the implementation of a phlebogram, since a graphic record obtained on the basis of data from multichannel sources makes it possible to accurately determine the nature of this process. There are the following types of cervical pulsation:

Venous. It is observed with insufficiency of the tricuspid valve of the heart, complete heart block, atrioventricular rhythm, stenosis of the right venous opening, paroxysmal tachycardia. It manifests itself in the form of one-, less often two-wave systolic pulsation of the jugular vein synchronously with systolic contraction of the ventricles or after presystolic contraction of the atria;

Arterial. It is observed with aortic aneurysm, arterial hypertension, diffuse thyrotoxic goiter, aortic valve insufficiency. It is manifested by increased pulsation of the carotid artery and its branches.

ARRYTHMIA.INFO

Common types:

Symptoms:

The information on this site should not be used for self-diagnosis and treatment and cannot be a substitute for in-person medical advice.

Throbbing neck pain

"Pulsating" as applied to the human body literally means - to vibrate, to knock strongly, unbearably.

Throbbing pain in the neck is a severe form of pain that causes unbearable discomfort and prevents a person from moving normally.

Can significantly restrict neck movement.

In the hustle and bustle of today's life, we often experience such discomfort and try not to pay attention to it.

And absolutely in vain.

Causes of throbbing neck pain

Wrong posture during sleep. Often found in those who have tried to sleep without a pillow.

Neck injury. A blunt blow during a fight or accident can cause severe pain During a long time. Swelling of the affected part, discoloration of the skin clearly indicate damage to the neck. In such cases, normal head movement is seriously hindered and can be restored in a few months!

Stretching of the ligaments of the neck. Although the muscles of the neck have sufficient flexibility and elasticity, excessive physical exertion on this area can provoke overstrain, and in severe cases, muscle rupture. In this case, the only option is surgery.

Spasm of the neck muscles. It mainly happens due to severe stress, excessive physical activity. Read more in the article: Spasm of the neck muscles. Causes and treatment.

cervical spondylosis. This is a condition where the discs and/or vertebrae of the neck area are damaged. This disease is usually diagnosed in older people. The main symptom of cervical spondylosis is stiffness and throbbing pain in the neck.

Treatment

To eliminate throbbing pain, anti-inflammatory and analgesic drugs (paracetamol, ibuprofen) are prescribed. Muscle relaxants are also used in the treatment: (diazepam) or their natural analogues: chamomile, bergamot, valerian, basil, peppermint and some others.

For treatment and prevention, special orthopedic pillows for sleeping and corset collars are used during wakefulness.

For prevention, exercises to relax the muscles of the neck and therapeutic exercises are indispensable.

Of great diagnostic value is the pulsation of the heart in the chest and vascular pulsation in the neck. The main method of research in this case is the implementation of a phlebogram, since a graphic record obtained on the basis of data from multichannel sources makes it possible to accurately determine the nature of this process. There are the following types of cervical pulsation:

ARRYTHMIA.INFO

Common types:

Symptoms:

The information on this site should not be used for self-diagnosis and treatment and cannot be a substitute for in-person medical advice.

Swelling and pulsation of the neck veins

Swelling and pulsation of the jugular veins is a characteristic symptom of increased central venous pressure. Normally, in a healthy person, a pulsation of the cervical veins is acceptable, which can be observed in the neck four centimeters above the angle of the sternum. In this case, a person should lie on a bed with its headboard raised at an angle of forty-five degrees. It is with this position of the body that the pressure in the right atrium of the heart corresponds to ten centimeters of the water column. When changing the position of the body to the vertical, the pulsation of the cervical veins should disappear.

Causes and factors of occurrence

The pulsation of the cervical veins differs from the pulsation of the carotid arteries in a smaller amplitude, the absence of its sensation during palpation. Also, a distinctive feature is the dissonance between the pulsation in the radial artery and the pulsation of the veins in the neck: the pulse is usually weak on the radial artery, while the venous pulse wave is clearly and clearly visible on the neck.

Increased pulsation of the cervical veins and their swelling can be traced in healthy people during stressful situations, neuroses, and excessive physical exertion.

Classification and signs

Signs of swelling and pulsation of the jugular veins are:

visible slow pulsation and swelling of the veins of the neck up to the angle of the lower jaw and even in the sublingual region;
in especially severe cases, swollen and dilated veins can also be found on the back of the hands;
swelling of the veins of the neck during inspiration (Kusmaul symptom);
swelling of the veins of the neck with pressure on the region of the right hypochondrium;
swelling in the neck;
visible pulsation of the heart in the region of the anterior chest wall, epigastrium, liver.

What diseases occurs

Swelling and pulsation of the cervical veins can occur in the following pathological conditions:

congenital and acquired heart and vascular defects (tricuspid valve insufficiency, aortic valve insufficiency);
heart failure;
pericarditis (constrictive, exudative);
cardiac tamponade;
hepatojugular reflux;
severe emphysema;
pneumothorax;
compression of the superior vena cava by a tumor or a pathologically altered adjacent organ;
neoplastic process (tumors) in the mediastinum;
aneurysm or severe atherosclerosis of the thoracic aorta;
retrosternal goiter;
thrombosis of large venous trunks;
arrhythmias (complete transverse heart block, heart rhythm from the atrioventricular node with the occurrence of simultaneous contraction of the ventricles and atria).

Which doctors should be contacted

Select the symptoms that bother you, answer the questions. Find out how serious your problem is and whether you need to see a doctor.

Before using the information provided by the medportal.org site, please read the terms of the user agreement.

Terms of use

The medportal.org website provides services that allow the User to search for clinics and other medical information.

By accepting the terms of this agreement, you fully understand and agree that:

The information on the site is for reference only.

The administration of the site medportal.org does not guarantee the absence of errors and discrepancies regarding what is stated on the site and the actual availability of goods and prices for goods in a pharmacy.

The user undertakes to clarify the information of interest to him by a phone call to the pharmacy or use the information provided at his own discretion.

The administration of the site medportal.org does not guarantee the absence of errors and discrepancies regarding the schedule of clinics, their contact details - phone numbers and addresses.

The administration of the site medportal.org undertakes and undertakes to continue to make every effort to minimize discrepancies and errors in the information provided.

You confirm that you have read the terms of this User Agreement and accept all the terms of this Agreement in full.

SHEIA.RU

Pulsating vein in the neck

What causes a vein in the neck to pulsate and what to do

Causes

The main cause of pulsation of the veins in the neck: heart failure in the right ventricle, accompanied by venous blood stasis in the systemic circulation.

At the same time, the vein does not just pulsate, it swells and expands.

When a pulse wave appears on the neck, it is not only well palpable - it can be seen from the side.

Why is this happening

Pulsating jugular veins can occur with the following health problems:

Thrombosis of large venous trunks.
Arrhythmia.
Heart or vascular disease (congenital or acquired).
Pericarditis.
Heart failure.
Emphysema of the lungs.
Mechanical effect on the superior vena cava (it happens with tumors or severe inflammation of neighboring organs).
Goiter located behind the sternum.
Aneurysm of the thoracic aorta.
Atherosclerosis of the thoracic aorta.
Some other issues.

What to do

If you notice that the pulsation of the vein in the neck began to occur at a regular frequency, this is an alarm signal.

Study

The primary study with complaints of the patient that the vein in the neck is pulsating is a palpation examination.

Note that the pulsation can be caused by violations of the outflow of blood in the veins (venous) or in the arteries (arterial). The doctor determines this during the initial examination.

One or more of the following tests may be needed to establish a more accurate diagnosis:

It is important to know: often the problem affects overweight people, so the doctor also pays attention to the patient's complexion. How is the presence of fat related to the pulsation of the veins?

Treatment

Pulsation in the head and neck: all possible causes, features, what and how to be treated?

Many people are familiar with the feeling of pulsation in the head. Such a condition does not necessarily indicate pathology, it is possible and normal under certain conditions. Most often, the feeling of pulsation in healthy people is provoked by stress, strong emotions, physical overload, or a sudden change in the weather. In these cases, discomfort is short-lived and goes away on its own.

Causes of pulsation of the vessels of the head

Pulsation in the head accompanies such diseases as:

Autonomic dysfunction (vegetative-vascular dystonia (VVD);
Degenerative changes in the cervical spine - hernia, osteochondrosis, instability, congenital developmental features;
Vascular wall lesions - atherosclerosis, vasculitis;
Aneurysm, vascular malformation;
Neoplasms of the head and neck;
ENT pathology;
Glaucoma, incorrectly selected glasses;
Postponed craniocerebral trauma;
Neuroses, neurasthenia and other psychiatric problems.

Arterial hypertension is one of the most common causes of pulsation in the head. This disease is also very common among people of mature and old age, for whom throbbing in the head is a well-known symptom.

With hypertension, arteries and arterioles are primarily affected, which spasm from constant high pressure, as a result of which the blood flow in the brain is disturbed. Against the background of a sharp rise in pressure - a crisis - the patient feels a pulsation in the temples, pain in the back of the head, dizziness and tinnitus are possible. The higher the pressure figure, the more obvious and painful the throbbing feeling, but as the pressure decreases to normal, the symptoms gradually disappear.

Pulsation against the background of autonomic dysfunction is provoked by stress, emotional experiences, physical overload and overwork. Smoking and alcohol abuse have a negative effect.

Pulsation with VVD occurs without pain, but is often accompanied by other signs of a vegetative disorder - sweating, redness of the face, discomfort and rumbling in the abdomen, cardialgia, a feeling of lack of air with increased respiration, weakness and decreased performance, low-grade fever. Also characteristic are mood swings, panic attacks, which often help to diagnose the cause of the pulsation.

Degenerative changes in the spine can be detected in almost every second adult inhabitant of the planet. Such a widespread pathology is facilitated by a sedentary lifestyle, sedentary work, and excess weight. Herniated discs, anomalies in the development of the bone processes of the vertebrae, osteochondrosis cause compression of blood vessels and nerves, resulting in pain and pulsation in the back of the head, parietal areas. Pulsations are accompanied by numbness in the limbs, pain in the neck, fluctuations in blood pressure.

cerebral arteriosclerosis

Inflammation of the vascular wall is called arteritis. It can be the result of an autoimmune disease, trauma, surgery, infectious disease. In the acute period of vasculitis, there is a pulsation with intense headache, general weakness, and possibly anxiety.

Such a pulsation becomes more noticeable with an increase in intraocular pressure, eye strain when working with a computer, reading, it is accompanied by a headache.

Neurasthenia is a borderline disorder that is provoked by stress, overwork, improper work and rest regimen, and individual characteristics of emotional response. Chronic tension of the nervous system sooner or later leads to its exhaustion, and the person turns into a neurasthenic patient who complains of constant fatigue, insomnia or drowsiness, irritability, reduced appetite and bad mood. In addition to these complaints, a pulsation in the head, soreness, noise, which are aggravated against the background of emotional experiences, are also characteristic.

Throbbing in the neck

On the neck, both venous pulsation, most often associated with heart problems, and pulsation of the arteries with damage to the vascular walls proper, hypertension, etc., are possible.

Pulsation of the cervical arteries

The most likely causes of a very noticeable arterial pulsation are aortic aneurysm (local expansion of the lumen of the vessel), formed in its initial section, arc, thoracic part, arterial hypertension, thyrotoxicosis with tachycardia and hypertensive crises, aortic valve insufficiency, when part of the blood returns to the left ventricle, creating an additional pulsation of the carotid arteries and their branches, visible to the naked eye.

Aortic valve insufficiency can occur in elderly people with atherosclerosis, after suffering rheumatism or syphilitic damage to the vascular wall and valve. This defect has a rather characteristic sign - the so-called "dance of the carotid", when the carotid arteries on the lateral surface of the neck contract synchronously with the rhythm of the heart. In addition to the sleepy ones, the temporal, brachial arteries, vessels of the hands and even the feet also pulsate with aortic valve insufficiency. Against the background of the pulsation of the carotid arteries, shaking movements of the head appear in time with the beating of the heart.

Pulsation of neck veins

Such defects as tricuspid valve insufficiency, narrowing of the mouth of the superior vena cava, as well as severe arrhythmias (paroxysmal tachycardia, complete AV blockade) provoke pulsation of the neck veins, however, it can also be noticed under severe stress and excitement.

Swelling and pulsating vibrations of the venous walls on the neck to the lower jaw;
Expansion of the lumen of the veins during inspiration, pressure on the right hypochondrium;
Combination with swelling of the tissues of the neck, pulsating heart beats, pulsation in the epigastric region.

What to do with pulsating sensations in the head or neck?

Throbbing neck pain

"Pulsating" as applied to the human body literally means - to vibrate, to knock strongly, unbearably.

Throbbing pain in the neck is a severe form of pain that causes unbearable discomfort and prevents a person from moving normally.

Can significantly restrict neck movement.

In the hustle and bustle of today's life, we often experience such discomfort and try not to pay attention to it.

And absolutely in vain.

Causes of throbbing neck pain

Wrong posture during sleep. Often found in those who have tried to sleep without a pillow.

Neck injury. A blunt blow during a fight or accident can cause severe pain for a long time. Swelling of the affected part, discoloration of the skin clearly indicate damage to the neck. In such cases, normal head movement is seriously hindered and can be restored in a few months!

Spasm of the neck muscles. It mainly happens due to severe stress, excessive physical exertion. Read more in the article: Spasm of the neck muscles. Causes and treatment.

Treatment

For treatment and prevention, special orthopedic pillows for sleeping and corset collars are used during wakefulness.

For prevention, exercises to relax the muscles of the neck and therapeutic exercises are indispensable.

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Throbbing neck pain

Causes of throbbing pain

Common causes of throbbing neck pain include:

Traumatic lesions of the ligaments, vertebrae, muscles;
Degenerative changes, including osteoarthritis;
Infectious lesions of bone tissue (osteomyelitis);
Evil, benign neoplasms;
Immune disorders, including spondylitis, polymyalgia rheumatica;
Reflected cervicalgia.

Most neck problems are caused by osteochondrosis. The intervertebral discs of the cervical region change, which leads to intense pain. Local vessels and nerve endings also suffer.

Severe pain in the neck often occurs as a result of metastasis of malignant tumors.

Diagnostic methods

Comprehensive studies may also be required.

Diagnostic accuracy when contacting a competent specialist reaches 100%. Examination, depending on the nature of the problem, costs a lot.

How to identify the causes of neck pain?

With pain in the neck, first of all, you need to contact the doctors of the following specialties:

At the appointment, the doctor will conduct an examination, identify the presence of additional symptoms and draw up a medical history card. To have a complete clinical picture, the doctor may need the results of additional studies, as well as a complete history of the disease. He will be interested in:

How long ago did the pain start?
What do you attribute the symptoms to?
Have you tried home treatment? What did you take?
Do you have other chronic diseases?

What to do with throbbing pain in the neck?

Massage;
Traction traction of the spine;

In some cases, resort to manual therapy, acupuncture.

What is the treatment for neck pain?

Treatment is selected individually. It implies taking analgesics, muscle relaxants, corticosteroids. Your doctor may also suggest:

orthopedic care;
reflex therapy;
Massages;
LLL therapy;
Surgical intervention;
Ultrasound treatment;
Physical education.

Discomfort, localized in the neck and neck, may occur due to multiple.

Many people are familiar with such a malaise as metatarsalgia. It is associated with violations of

67% of older students are diagnosed with posture problems. In this case, children 6-8 years old.

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