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Acxv

CVP is generally measured at the junction of the superior vena cava and the right atrium. This is most commonly this is done via a central venous catheter placed through the right internal jugular vein. A normal CVP waveform contains five components. These components include three peaks a, c, v and two descents x, y. All of these components correspond to various aspects of the cardiac cycle. The first peak is the a-wave, which immediately follows the p wave of the ECG waveform. The a-wave is a pressure increase that is due to atrial contraction at end-diastole. Shortly after the a-wave there is a second peak , the c-wave. The c-wave immediately follows the r wave of the ECG waveform. This is a pressure increase due to tricuspid bulging into the atrium as a result of isovolumic ventricular contraction IVC.
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