Jugular venous pressure

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  • normal JVP is <9cm above RA (<4 cm above sternal angle)
Abnormalities of the Venous Waveforms
Waveform Cardiac Condition
Absent a wave Atrial fibrillation, sinus tachycardia
Flutter waves Atrial flutter
Prominent a waves First-degree atrioventricular block
Large a waves Tricuspid stenosis, right atrial myxoma, pulmonary hypertension, pulmonic stenosis
Cannon a waves Atrioventricular dissociation, ventricular tachycardia
Absent x descent Tricuspid regurgitation
Prominent x descent Conditions causing enlarged a waves
Large cv waves Tricuspid regurgitation, constrictive percarditis
Slow y descent Tricuspid stenosis, right atrial myxoma
Rapid y descent Constrictive pericarditis, severe right heart failure, tricuspid regurgitation, atrial septal defect
Absent y descent Cardiac tamponade

From University of Washington Advanced Physical Exam website.