Patients with cirrhosis do not usually have jugular venous insufficiency, which may be seen when a person is lying down and not when sitting or standing upright. Jugular venous insufficiency is seen in the sitting or semi-recumbent position, where the upper body is at a 45-degree angle to the horizontal plane. Jugular venous insufficiency is more of a cardiology condition and may also involve the emergency department. The jugular veins reflect right atrial pressure and right atrial volume, and jugular venous insufficiency can be seen in right heart failure, which is a manifestation of impaired return of the body veins to the entire circulatory system and is associated with increased superior vena cava pressure. In cirrhosis, there is an increase in pressure in the portal venous system, and there may be collateral circulation, including esophageal-fundus varices, hemorrhoidal varices, and abdominal wall varices, which are not related to the superior vena cava. Therefore, cirrhosis from the usual causes will not have jugular venous rage. In rare cases of cirrhosis, such as cardiogenic cirrhosis, where the primary disease is in the heart, heart failure leads to hepatic stasis and jugular venous rage.