AAAAA
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Finally, the character and magnitude of the venous waves can be analyzed. The a and v waves are increased in pulmonary hypertension. Giant a waves (cannon waves) are seen in atrial ventricular dissociation. The a wave disappears in atrial fibrillation and is accentuated in states of poor right ventricular compliance (eg, pulmonary hypertension, pulmonic valve stenosis). The v wave becomes very prominent if tricuspid regurgitation is present. Tricuspid regurgitation also often produces significant hepatomegaly, with easily palpable systolic pulsation of the liver due to the regurgitant v wave swelling the liver during right ventricular systole. The accompanying marked venous hypertension sometimes leads to cardiac cirrhosis and ascites. In cardiac tamponade, the x descent is steep. In states of poor right ventricular compliance, the y descent following ventricular systole is very abrupt because the elevated column of venous blood rushes into the right ventricle on opening of the tricuspid valve, only to stop abruptly as the rigid right ventricular wall (in restrictive myopathy) or the pericardium (in constrictive pericarditis) arrests the inflow.
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| AAAAA
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This was in the exam. Pulmonary stenosis.
They ask you about the heart sound, which indicate a loud S2, also prolonged split of second heart sound and promintent A and V waves.
other loud pulmonic heart sound includes atrial septal defects
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| AAAAA
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They ask you to listen to the heart sound from Harvey and ask you all the questions about pulmonary stenosis.
Others have aortic stenosis or mitral reguritation.
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| AAAAA
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Loud Pulmonary Component of Second Sound
Pulmonary hypertension
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| brokenhearted
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r u serious??????...as far as I've heard...the SP'S are normal ppl so they say don't even pay attention while hearing the heart ,lung & bowel sounds & instead think of what else do u have to do next ,d/d/& the diagnostic tests that u r gonna tell the pt to be performed on him....what r we supposed to do then...
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