Cardiology>>>>>Heart Failure
Question 69#

During another physical examination, you notice a prominent v wave with a sharp y descent. What condition does the patient have? 

A. Constrictive cardiomyopathy
B. Restrictive cardiomyopathy
C. Tricuspid regurgitation
D. Pulmonary HTN
E. Tamponade

Correct Answer is C

Comment:

Tricuspid regurgitation. The v wave is a reflection of ventricular contraction and the pressure that is transmitted back to the atrium from a tricuspid valve that pushes back into the atrium. In the tricuspid regurgitation, there is increased pressure during ventricular systole.