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48 Possible Causes for Prominent A-Wave, Pulsatile Liver

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  • Eisenmenger Syndrome

    ECG of Eisenmenger syndrome Usually there is right ventricular hypertrophy with prominent P waves.[remedyland.com] A third heart sound as well as hepatosplenomegaly or a pulsatile liver occur with right heart failure. 4.2.[ncbi.nlm.nih.gov] Elevated jugular venous pressure and prominent "v" wave in right heart failure and severe tricuspid regurgitation.[ncbi.nlm.nih.gov]

  • Pulmonary Arterial Hypertension

    Physical examination findings sometimes observed in PH and right ventricular (RV) dysfunction include: an elevated jugular venous pressure with prominent A waves (due to increased[content.onlinejacc.org] Jugular venous distension and hepatomegaly occur with heart failure, sometimes causing a pulsatile liver later in the disease state.[clinicaladvisor.com]

  • Tricuspid Valve Insufficiency

    Physical examination findings include jugular venous distension with a prominent v-wave, hepatomegaly and, rarely, a soft systolic regurgitant murmur can be heard that increases[heart.bmj.com] Right heart failure leads to ascites, hepatosplenomegaly, pulsatile liver, peripheral edema and pleural overflow. In advanced stages patients are cachectic and cyanotic.[heartupdate.com] Jugular venous pressure is elevated with a prominent systolic 'v' wave. Right ventricular impulse is hyperdynamic and may be thrusting in quality.[patient.info]

  • Cor Pulmonale

    On electrocardiogram, there was right axis deviation, p-pulmonale, features of right ventricular hypertrophy along with presence of prominent Q waves in leads II, III and[ijem.in] liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[clinicaladvisor.com] The most typical ECG findings in emphysema are: Rightward shift of the P wave axis with prominent P waves in the inferior leads and flattened or inverted P waves in leads[lifeinthefastlane.com]

  • Chronic Right-Sided Congestive Heart Failure

    Distended neck veins with raised and/or prominent JVP and visible a or v waves. 3rd/4th heart sounds and pansystolic murmur of tricuspid regurgitation over right heart.[patient.info] liver palpable below the right costal margin; abdominal swelling and ascites; and visible elevation of the jugular venous pressure, sometimes with large a or v waves that[merckmanuals.com] In patients with considerable tricuspid regurgitation, a prominent systolic pulsation of the liver, attributable to an enlarged right atrial V wave, is often noted.[emedicine.medscape.com]

  • Pulmonary Hypertension

    […] for conditions that can produce pulmonary hypertension (murmurs, collagen disease, valve pathology, VTE, OSA, alcohol consumption, chronic respiratory disease) Examination prominent[lifeinthefastlane.com] 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] ‘a’ wave palpable P2 right heart failure – increased JVP, (large V waves), parasternal heave, TR murmur, hepatomegaly, peripherial oedema other signs of CHF hypoxaemia INVESTIGATIONS[lifeinthefastlane.com]

  • Hypoventilation

    wave, lower-extremity edema, and hepatomegaly.[emedicine.medscape.com] A pulsatile liver develops if tricuspid regurgitation is severe. Ascites may occur but is unusual. The systolic murmur of tricuspid valve regurgitation may be present.[emedicine.medscape.com] Advanced disease Patients with advanced disease develop signs of right ventricular failure (cor pulmonale) and may have elevated jugular venous pressure with a prominent V[emedicine.medscape.com]

  • Endomyocardial Fibrosis

    In this case, the only abnormal clinical finding may be a giant or prominent 'a' wave in the jugular venous pulse.[nigjcardiol.org] liver, hepatomegally, ascites, edema, cyanosis, cachexia and malnutrition.[nigjcardiol.org] Hemodynamic study may reveal a prominent 'a' wave in the PA wedge pressure, and LV end diastolic pressure may be elevated.[nigjcardiol.org]

  • Heart Valve Disease

    [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 liver Prominent[en.wikipedia.org] 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[en.wikipedia.org] 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 at LLSB, intensifying[en.wikipedia.org]

  • Congenital Mitral Stenosis

    […] v wave Prominent a wave TR Peripheral edema Loud P2, later becomes palpable 8.[slideshare.net] Inspection of the jugular venous pulsations may reveal a prominent “A wave,” attributable to vigorous atrial contraction or a prominent V wave due to tricuspid regurgitation[healio.com] liver Tricuspid regurgitation JVD Parasternal heave Prominent v wave Prominent a wave TR Peripheral edema Loud P2, later becomes palpable 8.[slideshare.net]

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