194 Semilogia médica y técnica explorator
Se le llama pulso venoso positive o ventricular
(ig. 338)
En la estenosis mcuspifea, el dato mas lamati-
vo del yugulograma es una onda vas gigante, pre
sistélica, con conservacién y aun atenuacién de
las ondas wc», «Vs y la depresin de #X. Se le
lama pulso venoso auricular (fig. 33 C),
En la enfermedad ricuspidea (estenosis + insufi
cienci), la onda »V gigante es sostenida, en me-
seta, y el seno «Yo que le sigue es mas lento;
todo ello indica una teguigitacién menor y el
‘bstéculo impuesto al lenado por el componente
de estenosis,
En el dename percindico y percardis constr,
la presisn venosa se exagera en la inspiracin (sig-
‘po de Kussmaul)y el registo grfico aprecia el co-
lapso diastolico de Fredreich, traducido por una
profunda onda «>. Blo denoea la sibita legada
de sangre (al comienzo de esta fase y luego cuan-
do se abre la valvula wicispide) desde las abulta
das venas sistémicas al vaclo ventecular derecho.
En el taponamiento cardiac, la presién venosa
esata y el nivel venoso inmévil(signo de la orale
ccundradas),
‘Cuando por inspeccion se advierte la falta de
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