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Venous Pulsations (JVP Waves)

7425 Views 5 Replies 5 Participants Last post by  titan25
The JVP and the venous pulse / pulsation is a frequently tested concept in USMLE

Here's a quick review

A = Atrial contraction
C = bulging of the tricuspid valve during ventricular contraction
There's dip between A and C which conincides with the Tricuspid valve closure

X descent = is the filling phase when pr decrease then gradually increase as more blood fill the right atrium until it reaches a maximum at

V = which is when the tricuspid opens

Y descent = is the emptying phase where pressure decreases as blood leaves the right atrium and then gradually increase as atria begin to contract going back to wave a.

Click on the thumbnail below for graphical representation

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click image to enlarge
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Can't see the dip between A and C in the graph!
Can't see the dip between A and C in the graph!
Thanks for the note, now the dip can be seen :)
can u post high yield questions regarding this JVP curve plz........
can u post high yield questions regarding this JVP curve plz........
That would be of great help, anyone please do so if you come across any question like that.
just want to add

The JVP and the venous pulse / pulsation is a frequently tested concept in USMLE

Here's a quick review

A = Atrial contraction
C = bulging of the tricuspid valve during ventricular contraction
There's dip between A and C which conincides with the Tricuspid valve closure

X descent = is the filling phase when pr decrease then gradually increase as more blood fill the right atrium until it reaches a maximum at

V = which is when the tricuspid opens

Y descent = is the emptying phase where pressure decreases as blood leaves the right atrium and then gradually increase as atria begin to contract going back to wave a.

Click on the thumbnail below for graphical representation

View attachment 19
click image to enlarge
:) . The "x" descent is due to a combination of atrial relaxation, the downward displacement of the tricuspid valve during right ventricular systole, and the ejection of blood from both the ventricles.
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