Advanced Physical Diagnosis
Heart Sounds & Murmurs
Liver and Ascites
Neck Veins
Pulmonary
Thyroid
[Skill Modules ]

Abnormal Pulsations

CV Merger

The v wave is increased when there is increased atrial filling during systole. The most common cause is tricuspid regurgitation. (often called a cv wave or s wave as it begins during the c wave) It is specific but not sensitive for tricuspid regurgitation as a large and compliant atrium can mitigate the effect of the regurgitation on the jugular vein wave forms.

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