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15 Possible Causes for Impaired Exercise Tolerance, Pulsatile Liver

  • Cor Pulmonale

    Hepatojugular reflux and pulsatile liver are signs of RV failure with systemic venous congestion. In severe disease, ascites can also be present.[emedicine.medscape.com] Pallor, engorged, and pulsatile neck veins and central cyanosis were present on general physical examination.[ijem.in] Abdominal examination revealed a firm, non-tender liver having a sharp margin, and measuring 7 cm below costal margin with a span of 12 cm, and the left lobe measuring 9 cm[ijem.in]

  • Eisenmenger Syndrome

    Patients with pre-tricuspid shunts were older, had higher BNP concentrations and lower exercise tolerance compared to patients with post-tricuspid shunts.[ncbi.nlm.nih.gov] Right ventricular (RV) function was impaired in patients with atrial septal defects, with larger right ventricles, impaired systolic function and adaptation.[ncbi.nlm.nih.gov]

  • Aortic Valve Insufficiency

    In addition, physicians may have a lower threshold for referring a patient for AVR after a treadmill test in which the patient had impaired exercise tolerance, presumed symptoms[content.onlinejacc.org]

  • Pulmonary Arterial Hypertension

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

  • Chronic Right-Sided Congestive Heart Failure

    ., kidney stones, urinary retention ) Further tests Cardiac stress test (exercise tolerance test) to assess the functional impairment due to HF or other conditions (particularly[amboss.com]

  • Pulmonary Hypertension

    […] capacity, reduce exercise tolerance, 87 induce iron deficiency, 24 and increase the risk of stroke. 88 If phlebotomy is performed, iron status should be monitored closely[doi.org] The signs of right ventricular failure include a high-pitched systolic murmur of tricuspid regurgitation, hepatomegaly, a pulsatile liver, ascites, and peripheral edema.[emedicine.medscape.com] liver Diastolic murmur Pulmonary regurgitation Hepatojugular reflux High central venous pressure Advanced PH with right ventricular failure Right ventricular S 3 (in 23%)[doi.org]

  • 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[clinicaladvisor.com]

  • Pulmonary Valve Stenosis

    Severe pulmonic valvular stenosis is associated with tricuspid insufficiency and may be associated with elevated central venous pressure, hepatosplenomegaly, a pulsatile liver[emedicine.medscape.com]

  • High Output Heart Failure

    ., kidney stones, urinary retention ) Further tests Cardiac stress test (exercise tolerance test) to assess the functional impairment due to HF or other conditions (particularly[amboss.com] There was no pulsatile mass nor abdominal murmur.[circ.ahajournals.org] tolerance Cachexia (wasting syndrome) Muscle wasting or weakness Nausea or anorexia Early satiety Weight loss, unexplained Malaise Impaired concentration or memory Sleep[ausmed.com]

  • Abdominal Aortic Thrombosis

    Aljaroudi et al. [ 32 ] found that hypertrophic cardiomyopathy patients with worse DD had impaired exercise tolerance, with an odds ratio of 3.0 and suggested that TESE should[kjim.org] […] segment, and spine for extremely realistic training Train clinicians to develop and practice ultrasound imaging skills Pulsatile arteries (generated manually using a hand[bluephantom.com] […] fusiform abdominal aortic aneurysm and simulated thrombus, renal and iliac arteries, inferior vena cava (IVC), simulated bowel and colon, peritoneal fluid (hemoperitoneum), liver[bluephantom.com]

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