MRCP PACES Cardiology Station
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fmeu6038 1 year ago
thank you
PACESresources 2 years ago
con'd So if you found that these JV pulsation coincides with the carotids (call it systolic expansions) then it is due prominance of the v wave and hence the diagnosis is TR. (note: Carotid pulsations are medial to the muscles not lat to it)
Yours
Dr. Eissa
solo717 4 years ago
Con'd I want to remind you all that in case of doubt you simply try obstruct the flow by puuting your hand at the base of the patients neck, if the pulsations decrease then it is venous as carotid pulse needs much pressure to be diminished. Then it is important to time the JVP with carotid pulse on the other side. a wave is just before the carotid upstroke and the v wave is just after it.
to be continued
solo717 4 years ago 2
Dear Collegues
This is prominent JV pulsation that is mostly V waves indicating Tricusped Regurgitation.
to be continued
solo717 4 years ago
well , to me looks like aneurysm as well , confused with AR , can any1 clarify it
joy07us 4 years ago
this is right carotid artery aneurysim
metaphesis 4 years ago
This is classical Aortic Regurge. It's NOT JVP. I have a video of a pistol-shot. I'll hopefully post it soon.
ofaithv 4 years ago
bifid pulse at the neck. aortic regurg. not sure why jvp would have a double impulse.
chantoke 4 years ago
yes but is there double wave in the impulse shown = JVP
alihussein6 4 years ago