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    JVP - WL Gan

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    Weh Loong Gan
    1. The document discusses waveform palpation of the jugular venous pressure and describes the normal and abnormal waveforms seen. 2. It notes that a normal jugular venous pressure has a double waveform that decreases with inspiration and increases when lying supine. 3. An abnormal jugular venous pressure may have a single waveform, enlarged waves, or slowed descents, indicating issues like heart failure, fluid overload, or constrictive pericarditis.

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    JVP - WL Gan

    Uploaded by

    Weh Loong Gan
    200 views1 page
    1. The document discusses waveform palpation of the jugular venous pressure and describes the normal and abnormal waveforms seen. 2. It notes that a normal jugular venous pressure has a double waveform that decreases with inspiration and increases when lying supine. 3. An abnormal jugular venous pressure may have a single waveform, enlarged waves, or slowed descents, indicating issues like heart failure, fluid overload, or constrictive pericarditis.

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    JVP_WL Gan

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    1. The document discusses waveform palpation of the jugular venous pressure and describes the normal and abnormal waveforms seen. 2. It notes that a normal jugular venous pressure has a double waveform that decreases with inspiration and increases when lying supine. 3. An abnormal jugular venous pressure may have a single waveform, enlarged waves, or slowed descents, indicating issues like heart failure, fluid overload, or constrictive pericarditis.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    200 views1 page

    JVP - WL Gan

    Uploaded by

    Weh Loong Gan
    1. The document discusses waveform palpation of the jugular venous pressure and describes the normal and abnormal waveforms seen. 2. It notes that a normal jugular venous pressure has a double waveform that decreases with inspiration and increases when lying supine. 3. An abnormal jugular venous pressure may have a single waveform, enlarged waves, or slowed descents, indicating issues like heart failure, fluid overload, or constrictive pericarditis.

    Copyright:

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    Download as PDF, TXT or read online from Scribd
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    of 1

    Waveform Palpation

    Jugular venous pressure

    Respiratory effect Patient position Compression

    Hepatojugular reflux

    Double waveform Increase Not palpable Occludable

    The University of Manchester | W.L. Gan | 2012 No effect No effect No effect Palpable

    Decrease with inspiration

    Venous pulsation

    Increase with patient lying supine

    Single waveform Non occludable

    Arterial pulsation

    Waveform a wave x descent c wave v wave y descent 1. Heart failure

    Atrial contraction

    Relaxation of atrium and the tricuspid valve moves downward Passive filling of right atrium against closed tricuspid valve Filling of right ventricle after tricuspid opening 1. Pericardial effusion 2. Cardiac tamponade Atrial fibrillation Kussmaul's sign

    Ventricular contraction and resulting bulging of tricuspid into the right atrium JVP rises with inspiration, drops with expiration 3. Constrictive pericarditis

    2. Fluid overload

    Causes of raised JVP

    3. Superior vena caval syndrome 4. Cardiac tamponade Absence a wave Large a wave Cannon a wave Slow y descent 5. Constrictive pericarditis

    Waveform abnormalities

    Prominent v wave

    cv waves, steep y descent Steep x and y descents

    Pulmonary hypertension, tricuspid stenosis Tricuspid regurgitation Tricuspid stenosis Constrictive pericarditis

    Atrial flutter, complete heart block, ventricular tachycardia

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