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Old 06-08-2011
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Originally Posted by bebix View Post
1.- Impaired diastolic filling of ventricles; jugular venous pressure with rapid "y descent"; left ventricular diastolic pressure tracing with "dip and plateau" configuration = A) Constrictive Pericarditis


3.- Impaired diastolic filling of ventricles; cyclical decrease in systolic blood pressure during inspiration; elevated jugular venous pressure without Kussmaul’s sign = D) Cardiac Tamponade

isnt Kussmaul sign present in cardiac tamponade?? here in 3 , it says increased JVD without kussmaul sign...
Kussmaulīs sign = Constrictive pericarditis or Restrictive cardiomyopathy

In healthy individuals, breathing in (inspiring) increases venous return to the right heart. Any evident neck vein distension, therefore, should diminish during inspiration.

In patients with conditions that impair venous return to the right heart inspiration may be associated with an absence of jugular vein collapse or a paradoxical rise in the jugular column. This is called Kussmaul's sign.

Cardiac conditions that may be associated with a positive Kussmaul's sign include right atrial myxoma, tricuspid stenosis, constrictive pericarditis, pericardial effusion, restrictive myocardopathy, and severe pulmonary hypertension. Overall, the commonest cause is severe right-sided congestive heart failure.
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