Pulsating Varicose Veins in Functional Tricuspid Insufficiency

Author:

BRICKNER PHILIP W.1,SCUDDER W. TRACY1,WEINRIB MICHAEL1

Affiliation:

1. From the Department of Medicine, Columbia University College of Physicians and Surgeons, and the First (Columbia University) Medical Division, Bellevue Hospital, New York, New York.

Abstract

To the 19 previously reported cases of pulsating varicose veins of the legs in tricuspid insufficiency, another case is added. Simultaneous electrocardiographic and venous pressure tracings of a pulsating varicose vein were recorded. A single broad "v" wave with loss of a conspicuous "x" descent, characteristic of tricuspid insufficiency with atrial fibrillation, was noted. The clinical manifestations of tricuspid insufficiency disappeared as the patient's cardiac status improved, suggesting the functional nature of the insufficiency in this case.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference21 articles.

1. LUISADA A. A.: Heart. A Physiologic and Clinical Study of Cardiovascular Disorders. Baltimore William & Wilkins Co. 1954.

2. LEVINE S. A. AND HARVEY W. P.: Clinical Auscultation of the Heart. Philadelphia W. B. Saunders Company 1959.

3. The diagnosis of tricuspid valve disease

4. Circulation Volume XXV January 1962

5. A case of pulsating spleen in mitral and tricuspid disease

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