Possible Causes for prominent v waves Cor Pulmonale Clinical findings associated with pulmonary heart disease include jugular venous distension, prominent v-wave in the jugular venous pulsation, narrow S-2 split or no split [acphospitalist.org] […] a or v waves, and cyanosis may be seen. the heart and lung are intricately related. whenever the heart is affected by disease, the lungs will follow and vice versa. pulmonary [allnurses.com] Clinical Signs Of Cor :Pulmonale Accentuated A wave of the jugular venous pulsations Prominent jugular V wave, indicating the presence of tricuspid regurgitation Palpable [slideshare.net] Chronic Right-Sided Congestive Heart Failure Distended neck veins with raised and/or prominent JVP and visible a or v waves. 3rd/4th heart sounds and pansystolic murmur of tricuspid regurgitation over right heart. [patient.info] In patients with considerable tricuspid regurgitation, a prominent systolic pulsation of the liver, attributable to an enlarged right atrial V wave, is often noted. [emedicine.medscape.com] Tricuspid Valve Insufficiency V wave In some patients, a pansystolic murmur Diminished peripheral pulse volume secondary to impaired forward blood flow; patients with this sign may have relative hypotension [emedicine.medscape.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] 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] 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] RV stiffness) and V waves (due to tricuspid regurgitation [TR]); Kussmaul’s sign (increased jugular venous pressure with inspiration, due to a noncompliant RV or significant [content.onlinejacc.org] Coarctation of the Aorta We present a case of severe aortic coarctation in a donor of twin-twin transfusion syndrome. Patients underwent two angioplasty procedures at age 7 and 47 days, weighing 900 and 1500 g, respectively. Umbilical artery approach was used in the first procedure, and femoral artery approach was used in the second.[…] [ncbi.nlm.nih.gov] Cardiac Cirrhosis Prominent v waves with rapid y descent indicate tricuspid regurgitation. [emedicine.medscape.com] […] a wave and v wave tricuspid regurgitation may diminish or reverse the S wave pure right ventricular dysfunction will have a preserved S/D relationship with the amplitude [radiopaedia.org] Right atrial pressure recordings reveal large a waves, indicating elevated right atrial pressure that may appear as presystolic liver pulsations. [emedicine.medscape.com] Acute Cor Pulmonale Clinical findings associated with pulmonary heart disease include jugular venous distension, prominent v-wave in the jugular venous pulsation, narrow S-2 split or no split [acphospitalist.org] […] a or v waves, and cyanosis may be seen. the heart and lung are intricately related. whenever the heart is affected by disease, the lungs will follow and vice versa. pulmonary [allnurses.com] On physical examination, findings of right ventricular dysfunction include bulging neck veins with prominent v waves, a left parasternal lift, an accentuated pulmonic component [tmj.ro] Heart Failure In patients with considerable tricuspid regurgitation, a prominent systolic pulsation of the liver, attributable to an enlarged right atrial V wave, is often noted. [emedicine.medscape.com] Tricuspid Valve Disease v waves, decreased S wave amplitude, and reversal of the S/D ratio is specific for tricuspid regurgitation severe tricuspid valve is abnormal with a flail leaflet right ventricular [radiopaedia.org] He is in chronic atrial fibrillation (AF), his neck veins are distended with prominent V waves, and he has an enlarged pulsating liver and severe peripheral edema. [onlinejacc.org] Jugular venous pressure is elevated with a prominent systolic 'v' wave. Right ventricular impulse is hyperdynamic and may be thrusting in quality. [patient.info] Myocardial Infarction R wave in V 1. [circ.ahajournals.org] A lateral MI originates an opposite electric vector that is directed to V 1, which explains the presence of a prominent R wave in this lead ( Figure 2 ). Figure 2. [circ.ahajournals.org] Until recently, these ECG findings had been considered clear examples of a posterior MI 1 because of the presence of a prominent and wide R wave in V 1 that was thought to [circ.ahajournals.org] Acute Myocardial Infarction Right heart catheterization will show prominent “V waves” in the pulmonary capillary wedge pressure tracing. [healio.com] Mitral Valve Insufficiency Inspection of the jugular venous pulsations may reveal a prominent “A wave,” attributable to vigorous atrial contraction or a prominent V wave due to tricuspid regurgitation [healio.com] He is in chronic atrial fibrillation (AF), his neck veins are distended with prominent V waves, and he has an enlarged pulsating liver and severe peripheral edema. [onlinejacc.org] Hypoventilation Advanced disease Patients with advanced disease develop signs of right ventricular failure (cor pulmonale) and may have elevated jugular venous pressure with a prominent V [emedicine.medscape.com] wave, lower-extremity edema, and hepatomegaly. [emedicine.medscape.com] Hypertrophic Cardiomyopathy Predictive value of prominent pulmonary arterial wedge V waves in assessing the presence and severity of mitral regurgitation. Am J Cardiol. 1994;73:568–70 121. [journals.lww.com] Mediastinopericarditis CV indicates cannon V waves. Figure 3. Still photographs showing distended elevated jugular venous pressure with prominent V wave. [circ.ahajournals.org] Right-Sided Bacterial Endocarditis Clinically, he was toxic, tachycardic, tachypneic, febrile with elevated juguler venous pressure, and a prominent V wave. [heartviews.org] She had mild-to-moderate pallor and the jugular venous pressure was raised by 5 cm above the clavicle with prominent c-v waves. [atmph.org] Colles' Fracture Physical findings may include: Jugular venous distension: Prominent jugular V wave, indicating the presence of tricuspid regurgitation Peripheral (ankle) edema: The best sign [ncbi.nlm.nih.gov] Distended neck veins with raised and/or prominent JVP and visible a or v waves. 3rd/4th heart sounds and pansystolic murmur of tricuspid regurgitation over right heart. [patient.info] An increase in chest diameter, labored respiratory efforts with retractions of the chest wall, distended neck veins with prominent a or v waves, and cyanosis may be seen. [emedicine.medscape.com] Anterior Myocardial Infarction Right heart catheterization will show prominent “V waves” in the pulmonary capillary wedge pressure tracing. [healio.com] Aortic Valve Disorder V waves and rapid y descents in jugular venous pressure [18] Inspiratory third heart sound at left lower sternal border (LLSB) [18] Blowing holosystolic murmur at LLSB, intensifying [en.wikipedia.org] [19] Loud, palpable P 2, [18] heard best when lying on the left side [19] In acute cases, the murmur and tachycardia may be only distinctive signs. [19] Pulsatile liver Prominent [en.wikipedia.org] 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] Hypertensive Heart Disease Evidence of LA enlargement includes broad P waves in the limb leads and a prominent and wide, delayed negative deflection in V 1. (See the images below.) [emedicine.medscape.com] Scarlet Fever V waves and rapid y descents in jugular venous pressure[11]. [en.wikipedia.org] […] symptoms of right-sided heart failure, such as ascites, hepatomegaly, edema and jugular venous distension.[11] Signs of tricuspid regurgitation include pulsatile liver, prominent [en.wikipedia.org] Recurrent Pulmonary Embolism On physical examination, findings of right ventricular dysfunction include bulging neck veins with prominent v waves, a left parasternal lift, an accentuated pulmonic component [tmj.ro] Heart Valve Disease V waves and rapid y descents in jugular venous pressure[11]. [en.wikipedia.org] The v wave may be prominent if there is RV failure. [ncbi.nlm.nih.gov] […] symptoms of right-sided heart failure, such as ascites, hepatomegaly, edema and jugular venous distension.[11] Signs of tricuspid regurgitation include pulsatile liver, prominent [en.wikipedia.org] Dilated Cardiomyopathy Type 1NN V waves and rapid y descents in jugular venous pressure[11]. [en.wikipedia.org] […] symptoms of right-sided heart failure, such as ascites, hepatomegaly, edema and jugular venous distension.[11] Signs of tricuspid regurgitation include pulsatile liver, prominent [en.wikipedia.org] Right Heart Endocarditis Clinically, he was toxic, tachycardic, tachypneic, febrile with elevated juguler venous pressure, and a prominent V wave. [heartviews.org] Right-Sided Heart Failure Distended neck veins with raised and/or prominent JVP and visible a or v waves. 3rd/4th heart sounds and pansystolic murmur of tricuspid regurgitation over right heart. [patient.info] In patients with considerable tricuspid regurgitation, a prominent systolic pulsation of the liver, attributable to an enlarged right atrial V wave, is often noted. [emedicine.medscape.com] Apical Myocardial Infarction Right heart catheterization will show prominent “V waves” in the pulmonary capillary wedge pressure tracing. [healio.com] Acute Atrial Infarction Probably the most common findings are relatively prominent S waves in leads V 5 and V 6. [angelfire.com] Prominent inferolateral Q waves (II, III, aV f, and V 4 to V 6 ) and tall right precordial R waves are probably related to increased depolarization forces generated by the [angelfire.com] T waves in the right precordial leads can be slightly inverted, particularly in leads V 1 and V 2. [angelfire.com] Dilated Cardiomyopathy Type 1R V waves and rapid y descents in jugular venous pressure[11]. [en.wikipedia.org] […] symptoms of right-sided heart failure, such as ascites, hepatomegaly, edema and jugular venous distension.[11] Signs of tricuspid regurgitation include pulsatile liver, prominent [en.wikipedia.org]
