Wiggers of constrictive pericarditis
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You are here: Home » Pathology Notes » Wiggers of constrictive pericarditis
y descent happens during the last part of ventricular filling. this disappears in cardiac tamponade
in constrictive pericarditis, all the filling occurs quickly, so you get a very steep y descent
on JVP exam, you notice the neck veins collapsing quickly rather than bounding up
try to elicit a Kussmaul’s sign. when the patient takes a breath in, this would normally bring more blood into the heart. but you have a shell, so the neck veins don’t empty. in fact, sometimes they even bulge out
can also happen if the RV itself fails
Category: Pathology Notes
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