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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why My Mother's Left Neck Vein Is Pulsating Considerably?

My Mother is 90 yrs, advanced congestive heart failure, both valve reguritation, Afib & dementia. Today I noticed left neck vein pulsing considerably and pulsating. I understand she is advacning quickly, I was just curious what that might indicate
Thu, 4 Sep 2014
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Internal Medicine Specialist,  's  Response
Hello,

I understand that she is in severe congestive heart failure. This leads to the neck veins being distended. She also has regurgitation from the tricuspid valve making the blood gush into the right atrium and then into the neck veins. Her heart rate also might be high. How you can help her more comfortable would be to prop her up with pillows or back rest. This will make the breathing easier and the neck veins will become less prominent. Also restrict the amount of fluids. Her doctor would have given medicines to make her pass urine and to support the heart. Continuing these will make her more comfortable.
Best wishes,
Dr. Noble Zachariah
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Why My Mother's Left Neck Vein Is Pulsating Considerably?

Hello, I understand that she is in severe congestive heart failure. This leads to the neck veins being distended. She also has regurgitation from the tricuspid valve making the blood gush into the right atrium and then into the neck veins. Her heart rate also might be high. How you can help her more comfortable would be to prop her up with pillows or back rest. This will make the breathing easier and the neck veins will become less prominent. Also restrict the amount of fluids. Her doctor would have given medicines to make her pass urine and to support the heart. Continuing these will make her more comfortable. Best wishes, Dr. Noble Zachariah