Prominent V-Waves: Causes & Reasons

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Possible Causes for Prominent V-Waves

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]

Catheterization findings include a prominent right atrial c-v pressure wave during ventricular systole. [merckmanuals.com]

Physical Examination Findings on cardiovascular examination in patients with tricuspid regurgitation include the following: S 3 gallop Jugular venous distention with a prominent [emedicine.medscape.com]

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]

Pulmonary Arterial Hypertension

The jugular venous pulse tracing demonstrates a prominent a wave without a c or v wave being observed. [en.wikipedia.org]

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]

Right Ventricular Disorder

The R wave will be prominent in V 1 with deep S waves in the lateral precordial leads indicating right ventricular hypertrophy. [phaonlineuniv.org]

The electrocardiogram in advanced stages of pulmonary hypertension and right ventricular failure may reveal right axis deviation, RBBB, p wave amplitude of more than 2.5 mm [phaonlineuniv.org]

Coarctation of the Aorta

Related Links Cardiac Catheterization Procedures Heart Surgery Heart Center Team See a Picture (MedlinePlus) What is it? Coarctation (pronounced kO–ärk–'tA–shun ) of the aorta is when the aorta has a very narrow area or segment like in an hourglass. Blood pressure increases above the narrow spot and the left[…] [web.archive.org]

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]

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]

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]

Congenital Mitral Stenosis

v wave Prominent a wave TR Peripheral edema Loud P2, later becomes palpable 8. [slideshare.net]

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]

0.10 mV) in V 1 ; broad, notched P waves in lead II; or both. [merckmanuals.com]

Mediastinopericarditis

CV indicates cannon V waves. Figure 3. Still photographs showing distended elevated jugular venous pressure with prominent V wave. [circ.ahajournals.org]

Passive Congestion of the Liver

“v waves” on a right atrial pressure tracing) Clinical : loss of hepatic pulsatility in a patient with long-standing congestive hepatopathy suggests progression to cardiac [mdnxs.com]

[…] rarely causes hepatic encephalopathy Hepatic Pulsatility Epidemiology : may be seen in cases associated with tricuspid regurgitation (presystolic pulsations corresponding to prominent [mdnxs.com]

Swan-Ganz Catheterization

atrial fibrillation Sawtooth a wave: atrial flutter Elevated v wave: tricuspid regurgitation (prominent y descent), RV failure Prominent x descent: tamponade Kussmaul sign [pcipedia.org]

Prominent v wave in mitral regurgitation.[ 4 ] Complications Possible complications of right heart catheterization are (next to complications at the puncture site) are rhytm [pcipedia.org]

(aspiratory rise of lack of decline in RA pressure): constrictive pericarditis, RV ischemia Figure 8 Elevated v wave and prominent y descent in tricuspid regurgitation Figure [pcipedia.org]

Papillary Muscle Disorder

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. [content.onlinejacc.org]

Hypercapnic Respiratory Failure

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]

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]

Right-Sided Endocarditis

Clinically, he was toxic, tachycardic, tachypneic, febrile with elevated juguler venous pressure, and a prominent V wave. [heartviews.org]

Cardiac Beriberi

"V" wave, apical impulse was felt in sixth intercostal space. [jdrntruhs.org]

[…] volume, collapsing and pistol shot sounds were heard over large arteries, blood pressure was 80/10 mm of Hg, temperature was 100°F, jugular venous pressure was elevated with prominent [jdrntruhs.org]

Tricuspid Stenosis

The V wave is more prominent in acute regurgitation and with the onset of LV failure. [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]

Br Heart J 38: 147–154 Google Scholar Snyder II RW, Glamann B, Lange RA et al. (1994) Predictive value of prominent pulmonary arterial wedge v waves in assessing the presence [link.springer.com]

Mitral Valve Atresia

Jugular venous pressure is elevated with a prominent systolic 'v' wave. Right ventricular impulse is hyperdynamic and may be thrusting in quality. [patient.info]

[…] in several or many leads with a prominent late negative component to the P wave in lead V 1, and may also be seen in mitral regurgitation, and, potentially, any cause of [en.wikipedia.org]

Heart sounds and murmurs: High-pitched pansystolic murmur, most prominent in the fourth intercostal space in the left parasternal region. [patient.info]

Mitral Valve Stenosis

A prominent v wave is seen with tricuspid regurgitation. The apical impulse may be laterally displaced or not palpable, especially in cases of severe mitral stenosis. [emedicine.medscape.com]

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]

In the patient with sinus rhythm, a prominent a wave reflects increased right atrial pressure from pulmonary hypertension and right ventricular failure. [emedicine.medscape.com]

Acyanotic Congenital Heart Disease

[…] with TR VSD with LV to RA shunt Prominent v waves if elevated in above conditions JVP usually normal even in Eisenmenger Sy. 42 Manish Chandra Prabhakar JVP in Cyanotic Heart [authorstream.com]

[…] a and v waves with PHT and Lutambacher 41 Manish Chandra Prabhakar JVP in VSD : JVP in VSD Normal with small and moderate VSD If elevated think of Large VSD with RVF VSD [authorstream.com]

wave( atrial filling during systole) – TR Prominent y descent (rapid early diastolic filling of RV) – ASD PS with TR TGA with CHF TR 44 Manish Chandra Prabhakar Inspection [authorstream.com]

Restrictive Cardiomyopathy

Examination: JVP +14 cm, prominent V waves and exaggerated Y descent. Hepatosplenomegally, peripheral oedema. [scmr.org]

Right Atrial Hypertrophy

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]

Congenital Pulmonary Valve Insufficiency

The pressure wave form in the right atrium shows the characteristic prominent systolic V wave with rapid descent only in the most severe cases. [revespcardiol.org]

The associated findings of tricuspid regurgitation are frequently present, that is, prominent JVP with surging V waves, holosystolic murmur at the lower left sternal border [emedicine.medscape.com]

Tricuspid stenosis results in characteristic changes in the jugular venous pulse in form of a slow "V" to "Y" descent and prominent "A" waves. [revespcardiol.org]

Constrictive Pericarditis

(similar to restrictive cardiomyopathy or RV infarct) Elevated mean (CVP) pressure, prominent a and v waves, steep x and y descents. [openanesthesia.org]

In patients with constrictive pericarditis, the x descent wave during systole is often more prominent than the early diastolic y wave (see Fig. 38f-C ). [rjmatthewsmd.com]

The right atrial pressure curve shows a typical M or W shape resulting from the existence of a preserved descending x wave in systole, a prominent descending y wave in diastole [revportcardiol.org]

Mitral Papillary Muscle Rupture

Note, however, that the v wave may not be prominent in patients with chronic mitral regurgitation (except during deterioration) because their LA has adapted. [openanesthesia.org]

Very large v waves can often be seen on the PA pressure waveform even without wedging the catheter. Afterload reduction with a vasodilator requires arterial monitoring. [openanesthesia.org]

wave and a rapid y descent. [openanesthesia.org]

Lateral Myocardial Infarction

9 In other words, ST segment depression (STD), prominent R waves, and upright T waves in leads V 1 through V 3 — "when reversed"—may represent the ST segment elevation (STE [ahcmedia.com]

Lateral Myocardial Infarction These infarcts may produce the Q-wave equivalents of abnormally prominent R waves in leads V 1 and V 2. [circ.ahajournals.org]

R waves are observed in the right precordial leads. [ahcmedia.com]