Created at 2:02 p.m. Apr, 02, 2024
Author: herstein.jacob
Related Note: 1471447248110 1
Rationale for change

Pt with JVD, prominent v wave, and holosystolic murmur - "on the jugular venous pulsation (JVP) waveform, prominent V waves are highly specific for TR"
Source: UWorld - Step 2 15832

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- The v wave marks the onset of RV relaxation (v wave to c wave = RV relaxation)


- Giant v waves are seen in tricuspid / mitral regurgitation, if tricuspid valve is leaky, pressure is going rise in RV contraction (from c wave to v wave)



increased JVP without inspiratory decline is known as Kussmaul's sign; may also have prominent x & y descents on jugular venous pulse tracings and a pericardial knock (mid-diastolic sound) on PE
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