Neck veins

  1. Large a waves
    • Tricuspid stenosis
    • Severe pulmonic stenosis
    • Severe noncompliant RVH
    • MS
  2. Large a and v waves
    Pulmonary HTN
  3. Large v waves, Kussmaul sign
    RV infarction
  4. Large v waves
    Tricuspid regurgitation
  5. Large a waves, slow y descent
    Tricuspid stenosis
  6. Large a waves, slow y descent, but positional and may have tumor "plop"
    Right atrial myxoma
  7. Rapid x descent, pulsus paradoxus
  8. Rapid x and y descents, Kussmaul sign, may have a diastolic knock
    Constrictive pericarditis
  9. Rapid x and y descents, Kussmaul sign, no knock, and other systemic manifestations of primary illness
    Restrictive cardiomyopathy
  10. Large, possible unilaterally, nonpulsatile neck veins; may have facial edema and cyanosis
    SVC syndrome
  11. Large nonpulsatile neck veins, severe dyspnea and chest pain, unilateral lack of breath sounds
    tension pneumo
  12. Irregular cannon a waves
    • Indicate AV dissociation
    • Occur in:
    • -- 70% of VT
    • -- Third degree AV block
    • -- Ventricular pacing in a patient with sinus rhythm and complete heart block
  13. What is Kussmaul sign?
    Inspiratory rise of the neck veins
Card Set
Neck veins
Differential diagnosis of elevated neck veins on physical exam