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Jugular Waveform Components • a wave - due to atrial contraction: It occurs just before
Components • a wave ... • c wave - caused ... • v wave - results ... y descent - is caused ... #Waves #Jugular
Cannon A Waves • Caused by atrial contracting against a closed tricuspid valve • Atrioventricular dissociation
Cannon A Waves ... • Caused by atrial ... • The cannon a wave ... dissociation + retrograde atrial ... 2LmUODZ #Cannon #AWaves
A wandering atrial pacemaker, (WAP), is an atrial arrhythmia that occurs when the natural cardiac pacemaker
A wandering atrial ... changes in the P-wave ... smooth upright P waves ... or diphasic P-waves ... athletes and rarely causes
RA/CVP Waveform Interpretation Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
(CVP) or right atrial ... diastole): lost in atrial ... to disorganized atrial ... ” caused by RA contraction ... (TV cusps bulge
Narrow Complex Tachycardias (Simplified) Irregular Narrow Complex Tachycardia: 1. Atrial fibrillation - Usually the correct answer 2. Multifocal
Atrial fibrillation ... Multifocal Atrial ... 3 different P wave ... Atrial flutter ... differential #diagnosis #causes
Normal hepatic vein Doppler Ultrasound tracing 1) a large antegrade waveform (negative velocity) noted during early and
mid-systole (S wave ... in RA pressure caused ... as a result of atrial ... This wave is caused ... by atrial contraction
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 EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... common finding) • Atrial ... also a result of atrial ... • Dominant R Wave
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
heart disease Causes ... No associated P-wave ... , and the T-wave ... capture of the atria ... arrhythmia • Atrial
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis - Absent a wave - Atrial fibrillation, sinus
- Atrial fibrillation ... - Atrial flutter ... stenosis, right atrial ... stenosis, right atrial ... regurgitation, atrial
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
• Inverted P Waves ... origin within the atria ... (e.g. ectopic atrial ... Morphology = multifocal atrial ... • Saw-Tooth = Atrial
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