<prompt> Kussmauls sign isIncrease in the JVP during inspirationDecrease in the JVP during inspirationChange in the blood pressure during exerciseEpigastric pulsation during running  <response>: Increase in the JVP during inspiration 1306-H 1384-H17lhKussmauls sign - an increase rather than the normal decrease in the JVP during inspiration-is most often caused by severe right-sided heart failure, it is a frequent finding in patients with constrictive pericarditis or right ventricular infarction 