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Kussmaul's sign

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Kussmaul's sign is a rise in JVP on inspiration.

Kussmaul's sign is seen in conditions in which right ventricular filling is limited by:

  • pericardial fluid
  • non-compliant pericardium or myocardium

The classical differential diagnosis is:

  • constrictive pericarditis
  • restrictive cardiomyopathy
  • cardiac tamponade

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General Practice Notebook
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