medico on Instagram: "Kussmaul’s sign is a paradoxical rise in jugular venous pressure (JVP) during inspiration. Normally, JVP falls when we inhale because more blood returns to the right side of the heart. In conditions where the right ventricle cannot accommodate this increased venous return—such as constrictive pericarditis, restrictive cardiomyopathy, right ventricular infarction, or massive pulmonary embolism—the JVP instead rises. It is an important bedside clue to impaired right heart fil
0:23
medico on Instagram: "Kussmaul’s sign is a paradoxical rise in jugular venous pressure (JVP) during inspiration. Normally, JVP falls when we inhale because more blood returns to the right side of the heart. In conditions where the right ventricle cannot accommodate this increased venous return—such as constrictive pericarditis, restrictive cardiomyopathy, right ventricular infarction, or massive pulmonary embolism—the JVP instead rises. It is an important bedside clue to impaired right heart fil
9K views3 months ago
Instagrammedmindset857
The Jugular Venous Pulse (JVP): A Window to the Right Heart The JVP waveform reflects right atrial hemodynamics. Mastering its variants is key to bedside diagnosis. 📈 Normal Waveform: ➡️ ‘a’ wave – Right atrial contraction ❤️ ➡️ ‘x’ descent – Atrial relaxation ⬇️ ➡️ ‘v’ wave – Ventricular systole (atrial filling) ➡️ ‘y’ descent – Ventricular filling (TV opens) 🚨 Pathological Variants: 🔴 Giant ‘a’ wave: Resistance to atrial emptying (e.g., Tricuspid Stenosis, Pulmonary Hypertension) 🚫 ⚡ Canno
0:41
The Jugular Venous Pulse (JVP): A Window to the Right Heart The JVP waveform reflects right atrial hemodynamics. Mastering its variants is key to bedside diagnosis. 📈 Normal Waveform: ➡️ ‘a’ wave – Right atrial contraction ❤️ ➡️ ‘x’ descent – Atrial relaxation ⬇️ ➡️ ‘v’ wave – Ventricular systole (atrial filling) ➡️ ‘y’ descent – Ventricular filling (TV opens) 🚨 Pathological Variants: 🔴 Giant ‘a’ wave: Resistance to atrial emptying (e.g., Tricuspid Stenosis, Pulmonary Hypertension) 🚫 ⚡ Canno
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