Hepatojugular reflux can yield valuable information about cardiac function (especially of the right ventricle) and pulmonary function and is an important component of the assessment of volume status the hepatojugular reflux is most commonly elevated with a raised venous pressure due to cardiac failure or hypervolaemiain principle, the. Reflux hepatojugular. The hepatojugular reflux is the distention of the jugular vein induced by applying manual pressure over the liver; the patient's torso should be positioned at a 45