Regular cannon wave.

Indian Heart J, 2016/9;68 Suppl 2:S291-S293.

Ranjith MP[1], Shajudeen K[2], Prasanth S[2]

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PMID: 27751320DOI: 10.1016/j.ihj.2015.07.037

Abstract
A 52-year-old male with history of dilated cardiomyopathy was admitted with progressive dizziness and worsening dyspnea. His blood pressure was 100/60 with a regular pulse of 70 per minute. Jugular vein wave showed a prominent pulse like regular cannon waves. Cannon wave occurs in conditions with atrioventricular dissociation and right atrial contraction against a closed tricuspid valve. Large A waves are associated with reduced right ventricular compliance or elevated right ventricular end-diastolic pressure.

Keywords: Cannon waves; Junctional rhythm; ‘a’ reversal

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