Cannon Wave Cause Explained
A "Cannon wave" refers to a specific phenomenon observed clinically, often related to heart rhythm disturbances.
Understanding Cannon Waves
Cannon waves occur when the atria contract against a closed atrioventricular (AV) valve (either the mitral or tricuspid valve). This forceful, simultaneous contraction causes a wave of increased venous pressure, which can sometimes be seen or felt clinically.
Cannon Waves and Complete Heart Block
The specific condition where cannon waves are characteristically seen is complete heart block (also known as third-degree AV block).
- In complete heart block, there is a complete dissociation between atrial and ventricular electrical activity. The atria and ventricles beat independently.
- Occasionally, a P wave (representing atrial contraction) occurs at the exact time the AV valve is closed due to ventricular contraction.
- When this happens, the atrium contracts forcefully against a closed valve, generating the cannon wave.
Why Other Options Are Less Likely
- Left/Right Ventricular Hypertrophy: These relate to thickening of the ventricle walls due to increased workload. While they affect heart function, they don't directly cause the specific timing issue leading to cannon waves.
- Mitral Stenosis: This is a narrowing of the mitral valve, obstructing blood flow from the left atrium to the left ventricle. It causes different pressure changes and wave patterns, not typically cannon waves.
Therefore, the observation of cannon waves strongly suggests AV dissociation, most commonly seen in complete heart block.
Important Questions from Heart Failure
High output cardiac failure is caused by which of the following diseases ?
1. Beri-beri
2. Severe anaemia
3. Thyrotoxicosis
Select the correct answer using the code given below:
- Kussmaul's sign is present in all of the following conditions, EXCEPT:
- Which of the following electro-cardio-graphic findings are manifestations of digitalis intoxication?
1. Ventricular bigeminy
2. Ventricular tachycardia
3. Atrial flutter
4. Atrial tachycardia with variable block
Select the correct answer using the code given below: - A 35-year-old labourer worker consulted a local medical practitioner for recurrent attack of chest pain. His elder brother had similar complaint and died at the age of 40 years. The labourer worker was advised to take sublingual nitroglycerin at the time of chest pain. But after taking nitroglycerin, the chest pain increased in intensity. Which one of the following is most likely ?
- The treatment of choice for a 32 year old male patient of severe mitral stenosis (Rheumatic) with thickened and calcified valves on echocardiography is:
