This test, also known as the hepatojugular reflex, is used as an adjunct to measuring the jugular venous pressure.
Performing the Test
- Ask the patient to relax and breathe normally through an open mouth
- Apply firm pressure of 20-35 mmHg with palm of hand to mid-abdomen for 15-30 seconds
- Observe JVP waveform before, during and after abdominal compression
- The test is positive when there is a sustained increase in JVP by > 4 cm
- Insall, RL, Davies RJ, Prout WG. Significance of Buerger’s test in the assessment of lower limb ischaemia. J R Soc Med. 1989; 82:729-731