Full 2L QBank
Physiology Cardiovascular system 1962576e

Which of the following is not true of "a" wave of venous pulsations in neck?

A
Exaggerated in tricuspid stenosis
B
Abolished in atrial fibrillation
C
Occurs just after in carotid aery
D
Exaggerated in complete hea block when P wave falls between QRS and T waves
High-Yield Explanation
There is no valve at the junction of superior vena cava (SVC) and right atrium (RA) therefore right atrial pressure changes are transmitted to the jugular vein in the neck. "a" wave is due to atrial systole. Some blood regurgitates into the great veins when atria contracts, even though the orifices of IVC and SVC are constricted. In addition veins inflow stops, causing the rise in venous pressure, contributing to the" a" wave.

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