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64 Possible Causes for Exertional Dyspnea, Pulsatile Liver

  • Pulmonary Arterial Hypertension

    A 17-year-old Japanese girl visited our hospital for an evaluation of exertional dyspnea.[] Jugular venous distension and hepatomegaly occur with heart failure, sometimes causing a pulsatile liver later in the disease state.[] General considerations Symptoms with no overt explanation: If a patient presents with symptoms, signs or history suggestive of pulmonary hypertension such as exertional dyspnea[]

  • Aortic Valve Insufficiency

    dyspnea Chest pain (angina) Dizziness Syncope Complications Left ventricular volume overload with left ventricular dilatation Decreased left ventricular systolic function[] liver) Gerhardt's sign (enlarged spleen) Duroziez's sign (systolic and diastolic murmurs heard over the femoral artery when it is gradually compressed) Hill's sign (A 20[] dyspnea (common) Orthopnea (common) Paroxysmal nocturnal dyspnea (common) Angina pectoris (less common) Abdominal discomfort (less common) Syncope (rare) Nocturnal angina[]

  • Cor Pulmonale

    The patient developed progressive exertional dyspnea, with clinical and laboratory findings of right-sided heart failure and pulmonary hypertension.[] liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[] Nonspecific: fatigue, tachypnea, exertional dyspnea, cough, anginal chest pain, hemoptysis, hoarseness What nonspecific signs may indicate underlying lung disease Increase[]

  • Tricuspid Valve Insufficiency

    These may generally include: Peripheral edema Fatigue and weakness Hepatomegaly (congestive) Ascites Dyspnea upon exertion, orthopnea, and paroxysmal nocturnal dyspnea Decreased[] Right heart failure leads to ascites, hepatosplenomegaly, pulsatile liver, peripheral edema and pleural overflow. In advanced stages patients are cachectic and cyanotic.[] Three weeks later, he presented with right-side heart failure symptoms and dyspnea on minimal exertion.[]

  • Eisenmenger Syndrome

    Eighteen consecutive patients with ES and exertional dyspnea according to the World Health Organization functional class III or IV were prospectively recruited.[] A third heart sound as well as hepatosplenomegaly or a pulsatile liver occur with right heart failure. 4.2.[] Clinical manifestations include exertional dyspnea, fatigue, lethargy, central cyanosis, chest pain, palpitations, atrial and ventricular arrhythmias.[]

  • Ebstein Malformation

    Adult life: Ebstein anomaly presents with fatigue, exertional dyspnea, cyanosis, tricuspid regurgitation and/or right heart failure, and palpitations; arrhythmias are common[] The symptoms of right heart failure like pulsatile liver, ascites, raised jugular venous pulse are all seen in the patients.[] Pulsatile liver, raised jugular venous pressure, oedema over ankles and legs, dyspnea are common findings in the patient.[]

  • Pulmonary Hypertension

    A 58-year-old woman was referred to our hospital with a chief complaint of exertional dyspnea.[] The signs of right ventricular failure include a high-pitched systolic murmur of tricuspid regurgitation, hepatomegaly, a pulsatile liver, ascites, and peripheral edema.[] Common presenting features are exertional dyspnea, lethargy, fatigue, exertional syncope and chest pain, peripheral edema, anorexia and right upper quadrant pain.[]

  • Cardiac Amyloidosis

    Patients generally present with exertional dyspnea, chest discomfort, or congestive heart failure.[] liver and 1 bilateral lower extremity pitting edema.[] A 63-year-old woman with exertional dyspnea was suspected of having CA based on her echocardiographic and electrocardiographic findings.[]

  • Atrial Myxoma

    Less frequently, obstruction of the tricuspid valve occurs, resulting in exertional dyspnea, syncope, or sudden death.[] Hepatomegaly was present, with the pulsatile liver palpated 6 cm below the right coastal margin, there was ascites and bowel sounds were present and normoactive.[] Two years later, she returned complaining of episodic chest tightness precipitated by anxiety as well as increased dyspnea upon exertion.[]

  • Heart Valve Disease

    Patients with chronic AR are asymptomatic for years but eventually develop exertional dyspnea, orthopnea, paroxysmal nocturnal dyspnea, and palpitations.[] liver Prominent V waves and rapid y descents in jugular venous pressure [18] Inspiratory third heart sound at left lower sternal border (LLSB) [18] Blowing holosystolic murmur[] Symptoms include shortness of breath during exertion (exertional dyspnea), heart-related chest pain (angina pectoris) and fainting spells (syncope).[]

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