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Large a waves
- Tricuspid stenosis
- Severe pulmonic stenosis
- Severe noncompliant RVH
- MS
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Large a and v waves
Pulmonary HTN
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Large v waves, Kussmaul sign
RV infarction
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Large v waves
Tricuspid regurgitation
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Large a waves, slow y descent
Tricuspid stenosis
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Large a waves, slow y descent, but positional and may have tumor "plop"
Right atrial myxoma
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Rapid x descent, pulsus paradoxus
tamponade
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Rapid x and y descents, Kussmaul sign, may have a diastolic knock
Constrictive pericarditis
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Rapid x and y descents, Kussmaul sign, no knock, and other systemic manifestations of primary illness
Restrictive cardiomyopathy
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Large, possible unilaterally, nonpulsatile neck veins; may have facial edema and cyanosis
SVC syndrome
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Large nonpulsatile neck veins, severe dyspnea and chest pain, unilateral lack of breath sounds
tension pneumo
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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
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What is Kussmaul sign?
Inspiratory rise of the neck veins
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