Basic Cardiology – V
Contents
- 1 Pulsus bisferiens is seen in ?
- 2 Which of the following is the most common Inherited hypercoagulable state?
- 3 Beck's triad is related to diagnosis of -
- 4 All of the following are TRUE about Pulsus bisferiens EXCEPT -
- 5 Kussmaul's sign and rapid X‐Y descents are found in all of the following EXCEPT -
- 6 Friedreich's sign is seen in -
- 7 Giant v waves occur in -
- 8 Giant C-V waves in Severe Tricuspid Regurgitation is known as?
- 9 McConnell's Sign is seen in -
- 10 Tapping apex is occurs in -
Pulsus bisferiens is seen in ?
Pulsus bisferiens is a single central pulse wave with two peaks separated by a distinct mid-systolic dip.
An early component percussion wave - results from rapid left ventricular ejection.
A late component tidal wave represents a reflected wave from the periphery due to an artery's recoil effect.
The most common causes of pulsus bisferiens are:
Mixed aortic valve diseases, such as infective endocarditis, rheumatic heart disease, Marfan syndrome, and bicuspid aortic valve
Hypertrophic cardiomyopathy with obstruction (HOCM)
Other causes are:
Severe aortic regurgitation
Large PDA (patent ductus arteriosus) or arteriovenous fistula
Significant mitral valve prolapse
Which of the following is the most common Inherited hypercoagulable state?
Factor V Leiden- is a mutated form of human factor V, which causes hypercoagulability.
Beck's triad is related to diagnosis of - Cardiac tamponade
Components of Beck's triad are:
- Hypotension with a narrowed pulse pressure
- Jugular venous distention (JVD)
- Muffled heart sounds
All of the following are TRUE about Pulsus bisferiens EXCEPT -
Pulsus bisferiens is a single central pulse wave with two peaks separated by a distinct mid-systolic dip.
Kussmaul's sign and rapid X‐Y descents are found in all of the following EXCEPT -
Kussmaul's sign and rapid X‐Y descents, which resulted from RV filling impairment, are the hallmark clinical presentations of constrictive pericarditis.
- also be found in restrictive cardiomyopathy and RV failure
Y- descent is usually absent in tamponade because early diastolic blood flow from the right atrium to the right ventricle is impaired by the compressive effect of the surrounding pericardial fluid.
Friedreich's sign is seen in -
Friedreich's sign is the exaggerated drop in diastolic central venous pressure seen in constrictive pericarditis
Giant v waves occur in -
Severe TR,- giant C-V waves or the Lancisi sign can be found on the jugular venous examination.
Severe tricuspid regurgitation, there is an increased backflow of blood to the right atrium during systole.
In patients with severe tricuspid regurgitation, the V wave of tricuspid regurgitation merges with the C wave forming a single prominent C-V wave
Giant C-V waves in Severe Tricuspid Regurgitation is known as?
60/60 sign - in echocardiography refers to the coexistence of a -
truncated right ventricular outflow tract acceleration time (AT <60 ms) with a pulmonary arterial systolic pressure (PASP) of less than 60 mmHg
McConnell's sign - echocardiographic feature of acute massive pulmonary embolism.
It is defined as a regional pattern of right ventricular dysfunction, with akinesia of the mid free wall and hyper contractility of the apical wall.
McConnell's Sign is seen in -
McConnell's sign - echocardiographic feature of acute massive pulmonary embolism.
It is defined as a regional pattern of right ventricular dysfunction, with akinesia of the mid free wall and hyper contractility of the apical wall.
Tapping apex is occurs in -
Tapping apex is a palpable first sound and occurs in mitral stenosis
