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46 Possible Causes for Cardiac Signs and Symptoms, Pulsatile Liver

  • Cor Pulmonale

    Patients present with signs and symptoms of right ventricular dysfunction and low cardiac output including dyspnea, chest pain and peripheral edema.[] Hepatojugular reflux and pulsatile liver are signs of RV failure with systemic venous congestion. In severe disease, ascites can also be present.[] Pallor, engorged, and pulsatile neck veins and central cyanosis were present on general physical examination.[]

  • Chronic Right-Sided Congestive Heart Failure

    Symptoms1 Failure of the Right Ventricle results in systemic venous hypertension, and can lead to the following signs/symptoms: Peripheral edema Anorexia, nausea, and abdominal[] Clinically, the signs and symptoms of diastolic and systolic heart failure are practically identical, even though jugular venous distention and an S3 heart sound may be more[] […] volume (as above) Pathophysiology Signs and symptoms Underlying mechanism Left-sided heart failure Symptoms Shortness of breath Increased pulmonary capillary oncotic pressure[]

  • Aortic Valve Insufficiency

    […] output Physical Physical examination findings can be associated with the signs and symptoms of various degrees of severity of insufficiency and with the status of LV compensation[] Intravenous positive inotropic agents should only be used in inpatient settings — and then only in patients who manifest signs and symptoms of low cardiac output syndrome[] Cause of symptoms in acute severe aortic valve insufficiency Sudden drop in coronary driving pressure Increased filling pressure of the LV Increased left atrial pressure Low cardiac[]

  • Acute Aortic Regurgitation

    Symptoms and Signs Acute aortic regurgitation causes symptoms of heart failure (dyspnea, fatigue, weakness, edema) and cardiogenic shock (hypotension with resultant multisystem[] In chronic aortic regurgitation, LV hypertrophy and dilation can gradually occur, so normal left ventricular pressures and cardiac output are maintained.[]

  • Tricuspid Valve Insufficiency

    Twelve of the 14 survived, and in each of them all cardiac signs and symptoms, including the murmur, spontaneously resolved.[] With severe TR, there may be an enlarged liver detected on palpation of the right upper quadrant of the abdomen; the liver may be pulsatile on palpation and even on inspection[] The liver may be large and pulsatile. There is usually a single first heart sound that may be increased in intensity.[]

  • Eisenmenger Syndrome

    Dyspnea, back pain, edema, and cyanosis developed suddenly in a 23-year-old woman during the last trimester of her first pregnancy. Although she had been noticed to have the enlarged heart and exertional shortness of breath to a slight degree, she had been apparently in good condition without any significant[…][]

  • Congenital Aortic Insufficiency

    History Part 3: Competing diagnoses that can mimic Diagnosis and Management of Chronic Aortic Regurgitation Any cardiac condition that results in signs and symptoms of left[] This would include other cardiac valvular abnormalities (aortic stenosis, mitral valve stenosis, mitral valve regurgitation), cardiomyopathy (ischemic/nonischemic), hypertensive[]

  • Pulmonary Edema

    However, if a patient has equivocal symptoms and signs combined with a modest elevation in NT-proBNP, it is most likely to represent cardiac dysfunction.[] […] is enlarged and may be tender or even pulsatile.[] Acute HF is defined as the rapid onset of signs and symptoms secondary to abnormal cardiac function.[]

  • High Output Heart Failure

    […] and signs of heart failure can occur in the setting of an increased cardiac output and has been termed 'high output heart failure'.[] There was no pulsatile mass nor abdominal murmur.[] High output heart failure is a poorly understood condition characterized by signs and symptoms of heart failure and a resting cardiac index above 4 l/min x m2.[]

  • Low Cardiac Output Syndrome

    LCOS was defined as clinical signs or symptoms, e.g., tachycardia, oliguria, poor perfusion, cardiac arrest, with or without a widened arterial-mixed venous oxygen saturation[] Liver may be pulsatile, and the RUQ may be tender to palpation. Ascites may be present in severe cases. The lower extremities may be edematous.[] They can also have symptoms and signs associated with low cardiac output. ECG may reveal a sinus tachycardia or S 1 Q 3 T 3 or the patient may be in atrial fibrillation.[]

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