#MEDICINE(INI-CET)
Mark the true statements regarding JVP -
1. Tricuspid regurgitation = +ve Freidrich's sign
2. Cardiac tamponade = absent y descent
3. Tricuspid stenosis = slow y descent
4. Steep x descent = Constrictive pericarditis
Options:
A. 1,2 and 3 are true
B. 2 and 3 are true
C. 2, 3 and 4 are true
D. 1,2,3 and 4 are true
Answer.D :1,2,3 and 4 are true
Cardiac tamponade:
• y descent absent as heart can't relax
• Bag of fluid squeezing heart from outside passive filling of blood in the ventricle.
Tricuspid regurgitation
• CV wave -feature of severe TR as CV wave is positive.
• Steep y descent
Steep x & Steep Y descent causes :
• Constrictive pericarditis
• Restrictive cardiomyopathy
• Rapid ventricular filling tt d/t
• Calcification outside heart
• Fibrosis of heart( Diastasis impaired)
Points to Remember:
▪️Rapid y descent-Freidrich's sign=TR, ASD, AF, CP,RMP
▪️Slow Y descent-TS, High RV pressure
▪️Absent y descent-Cardiac temponade
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