Coupon Accepted Successfully!


Open Flashcards


6 out of 7

Typical finding in cardiac tamponade­ - (PGI May 2010)

A Absent 'Y' descent
B Prominent 'a' wave

C Absent 'a' wave
D Prominent 'Y' wave

Ans. A

Absent 'Y' descent

Abnormalities of JVP

1. Raised JVP with normal waveform: a. Fluid overload b. Right heart failure Q

2. Raised JVP with absent pulsation: SVC obstruction

3. Large a wave: a. Tricuspid stenosis b. Pulmonary stenosis c. Pulmonary artery Hypertension.

4. Cannon a wave: a. Complete heart block b. Junctional rhythm c. Atrioventricular dissociation.

5. Absent a wave: atrial fibrillation Q

6. Giant v wave: Tricuspid regurgitation. Q

7. Slow y descent: Tricuspid stenosis Q

8. Prominent y descent: Constrictive pericarditis, severe RHF, high venous pressure.

9. Prominent x descent: Constrictive pericarditis, Cardiac tamponade. Descent is reversed in TR.

Extra Edge:

1. Rise in JVP during 10 sec of mid abdominal compression followed by a rapid drop in pressure of 4 cm of blood in release of the compression. Q

2. It indicates incipient right sided heart failure