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22 Possible Causes for Impaired Exercise Tolerance, Pulsatile Liver

  • Aortic Valve Insufficiency

    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[] (Watson's) Water-hammer pulse Quincke's sign (pulsation of the capillary bed in the nail) Mayen's sign (diastolic drop of BP 15 mm Hg with arm raised) Rosenbach's sign (pulsatile[]

  • Pulmonary Arterial Hypertension

    Jugular venous distension and hepatomegaly occur with heart failure, sometimes causing a pulsatile liver later in the disease state.[]

  • Eisenmenger Syndrome

    Patients with pre-tricuspid shunts were older, had higher BNP concentrations and lower exercise tolerance compared to patients with post-tricuspid shunts.[] A third heart sound as well as hepatosplenomegaly or a pulsatile liver occur with right heart failure. 4.2.[] tolerance, impaired oxygen transport capacity due to “relative anemia”, and may increase the risk of cerebrovascular events. 29 , 30 Venesection should only be offered to[]

  • Cor Pulmonale

    liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[] Hepatojugular reflux and pulsatile liver are signs of RV failure with systemic venous congestion. In severe disease, ascites can also be present.[] […] sickle cell crisis, pre-existing pulmonary hypertension; chronic lung disease; or following cardiac surgery Physical examination may reveal distended neck veins, a tender, pulsatile[]

  • Pulmonary Hypertension

    The signs of right ventricular failure include a high-pitched systolic murmur of tricuspid regurgitation, hepatomegaly, a pulsatile liver, ascites, and peripheral edema.[]

  • Heart Valve Disease

    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[] […] often with heave [19] Loud, palpable P 2 , [18] heard best when lying on the left side [19] In acute cases, the murmur and tachycardia may be only distinctive signs. [19] Pulsatile[]

  • Acute Myocarditis

    Physical exam will look like congestive heart failure, with jugular venous distention, pulmonary rales, peripheral edema, pulsatile liver, and perhaps a laterally displaced[]

  • Ebstein Malformation

    The patient refused surgery. 18 months later the patient was still in stable condition with mild impairment of exercise tolerance.[] 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.[]

  • Secondary Pulmonary Hypertension

    Hepatomegaly liver pulsatility if there is significant associated tricuspid regurgitation. Jaundice in advanced cases. Ascites in advanced cases.[]

  • Congestive Heart Failure

    The impairment of exercise tolerance indicated by NYHA classification was markedly improved by PD for both groups.[] ), S4 in patients with diastolic heart failure, thyrotoxicosis (goiter, exophthalmos, excessive sweating, cachectic appearance, and a pulsatile thyroid mass) and presence[] […] as tolerated and, for Pts with impaired renal function or psychogenic polydipsia, fluid restriction . 2. drug therapy with multiple agents–diuretics, ACE inhibitors, digoxin[]

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