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A thorough cardiovascular examination involves more than just observation. It requires careful consideration of individual observations, logical pattern fitting, and correlation with other factors such as blood pressure, arterial pulses, jugular venous pulsations, and patient history. The first step in the assessment is estimating the jugular venous pressure (JVP), which can provide valuable information about the patient's volume status and cardiac function. To do this, start with the patient supine and ensure the head of the examination table is elevated to 30 degrees. It's important to differentiate jugular waveform from carotid artery pulsations.