7th February 2024

A 65-year-old female with previous rheumatic fever presents with progressive bilateral lower limb oedema, ascites and shortness of breath on exertion.

A 65-year-old female with previous rheumatic fever presents with progressive bilateral lower limb oedema, ascites and shortness of breath on exertion. An echocardiogram reveals a severe tricuspid stenosis as the underlying cause. An abnormal JVP waveform is noted. 

Which of the following abnormalities is likely to be seen with this condition?