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535 Possible Causes for Prominent A-Wave

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  • Eisenmenger Syndrome

    ECG of Eisenmenger syndrome Usually there is right ventricular hypertrophy with prominent P waves.[remedyland.com] Elevated jugular venous pressure and prominent "v" wave in right heart failure and severe tricuspid regurgitation.[ncbi.nlm.nih.gov] In tricuspid regurgitation, the jugular venous pressure may be elevated and shows a prominent "v" wave, Fig. ( 2 ).[ncbi.nlm.nih.gov]

  • Pulmonary Hypertension

    […] for conditions that can produce pulmonary hypertension (murmurs, collagen disease, valve pathology, VTE, OSA, alcohol consumption, chronic respiratory disease) Examination prominent[lifeinthefastlane.com] A prominent A wave may be observed in the jugular venous pulse. A right-sided fourth heart sound (S 4 ) with a left parasternal heave may be auscultated.[emedicine.medscape.com] ‘a’ wave palpable P2 right heart failure – increased JVP, (large V waves), parasternal heave, TR murmur, hepatomegaly, peripherial oedema other signs of CHF hypoxaemia INVESTIGATIONS[lifeinthefastlane.com]

  • Tricuspid Valve Stenosis

    Patients often display a prominent A Wave as atrial systole against the stenotic tricuspid valve results in an exaggerated increase in right atrial pressure and thus bulging[pathwaymedicine.org] […] atrial hypertrophy, a prominent A wave becomes the dominant feature.[tele.med.ru] Jugular venous pressure is elevated with a prominent systolic 'v' wave. Right ventricular impulse is hyperdynamic and may be thrusting in quality.[patient.info]

  • Pulmonary Valve Stenosis

    ECG of pulmonary valve stenosis Electrical axis deviation to right or right ventricular hypertrophy, prominent P wave.[remedyland.com] With increasing right ventricular hypertrophy, right ventricular compliance decreases with a resultant increase in end-diastolic pressure and with prominent a waves in the[emedicine.medscape.com]

  • Ostium Primum Atrial Septal Defect

    If MR is present, the findings of ASD may be modified Prominent v wave in JVP LV type apex IE may occur (unlike secundum ASD) ECG Incomplete RBBB pattern in v1 as in secundum[heartpearls.com] The notched R waves in inferior leads are not so prominent. ECG 11.[metealpaslan.com]

  • Cor Pulmonale

    On electrocardiogram, there was right axis deviation, p-pulmonale, features of right ventricular hypertrophy along with presence of prominent Q waves in leads II, III and[ijem.in] The most typical ECG findings in emphysema are: Rightward shift of the P wave axis with prominent P waves in the inferior leads and flattened or inverted P waves in leads[lifeinthefastlane.com]

  • Right Atrial Hypertrophy

    The S waves are prominent in leads V5 and V6. The amplitude of R wave is more than 5 mm in lead VI.[yourarticlelibrary.com] In addition, repolarization abnormalities can cause ST segment depression and T wave inversion in leads with a prominent R wave (formerly referred to as a “strain” pattern[slideplayer.it] For example, positioning leads V1 and V2 too high ( by 1 or 2 interspaces ) on the chest — may result in prominent P wave negativity, that in lead V1 might falsely suggest[ecg-interpretation.blogspot.com]

  • Pulmonary Arterial Hypertension

    Physical examination findings sometimes observed in PH and right ventricular (RV) dysfunction include: an elevated jugular venous pressure with prominent A waves (due to increased[content.onlinejacc.org]

  • Tricuspid Valve Insufficiency

    Physical examination findings include jugular venous distension with a prominent v-wave, hepatomegaly and, rarely, a soft systolic regurgitant murmur can be heard that increases[heart.bmj.com] Jugular venous pressure is elevated with a prominent systolic 'v' wave. Right ventricular impulse is hyperdynamic and may be thrusting in quality.[patient.info] Heart sounds and murmurs: High-pitched pansystolic murmur, most prominent in the fourth intercostal space in the left parasternal region.[patient.info]

  • Right Ventricular Disorder

    In about one-third, the jugular venous pulse may demonstrate a prominent ‘a’ wave, reflecting diminished right ventricular compliance secondary to right ventricular hypertrophy[emedmd.com] The R wave will be prominent in V 1 with deep S waves in the lateral precordial leads indicating right ventricular hypertrophy.[phaonlineuniv.org] Pulsus alternans may be present in patients with severe left ventricular failure, and the jugular veins may be distended, with a prominent V wave reflecting tricuspid regurgitation[emedmd.com]

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