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Friday, August 16, 2013

kussmual sign

Kussmual sign is a paradoxical rise of JVP on inspiration and is seen in
1. Constricitve Pericarditis
2. Restrictive Cardiomyopathy
3. Inferior wall MI( RV MI)

Alteranatively remember kussmual sign is absent in CARDIAC TAMPONADE and SUPERIOR VENA CAVA SYNDROME. Logic being that in these conditions the amount of congestion in jugular veins is so large that the pulsations are not seen. Normally we can appreciate the pulsations in jugular vein at a rate twice that of the beating of the carotid artery.