Electrocardiogram monitor displaying heart waveform on hospital bedside monitor with medical tubing IV drip and emergency alarm lights conveying clinical urgency and ventricular tachycardia alert
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Premature Ventricular Complex (PVC)
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The Jugular Venous Pulse (JVP): A Window to the Right Heart The JVP waveform reflects right atrial hemodynamics. Mastering its variants is key to bedside diagnosis. 📈 Normal Waveform: ➡️ ‘a’ wave – Right atrial contraction ❤️ ➡️ ‘x’ descent – Atrial relaxation ⬇️ ➡️ ‘v’ wave – Ventricular systole (atrial filling) ➡️ ‘y’ descent – Ventricular filling (TV opens) 🚨 Pathological Variants: 🔴 Giant ‘a’ wave: Resistance to atrial emptying (e.g., Tricuspid Stenosis, Pulmonary Hypertension) 🚫 ⚡ Canno
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Post op cardiac patient had this rhythm in the ECG trace in the monitor. Its ventricular Bigeminy. One can see each normal beat is alternating with a ventricular premature complex (VPC). If you see the arterial line trace below it, during the VPC there is no effective contraction as shown by very small amplitude arterial waveform :) | Medical Snippet
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