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35 Possible Causes for Prominent V-Waves, Pulsatile Liver

  • 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] RV stiffness) and V waves (due to tricuspid regurgitation [TR]); Kussmaul’s sign (increased jugular venous pressure with inspiration, due to a noncompliant RV or significant[content.onlinejacc.org]

  • 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

    […] a or v waves, and cyanosis may be seen. the heart and lung are intricately related. whenever the heart is affected by disease, the lungs will follow and vice versa. pulmonary[allnurses.com] liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[clinicaladvisor.com] On inspection, an increase in chest diameter, labored respiratory efforts with retractions of chest wall, distended neck veins with prominent a or v waves, and cyanosis may[medictests.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]

  • Hypoventilation

    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] 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] wave, lower-extremity edema, and hepatomegaly.[emedicine.medscape.com]

  • Heart Valve Disease

    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] 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] [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]

  • Eisenmenger Syndrome

    Elevated jugular venous pressure and prominent "v" wave in right heart failure and severe tricuspid regurgitation.[ncbi.nlm.nih.gov] A third heart sound as well as hepatosplenomegaly or a pulsatile liver occur with right heart failure. 4.2.[ncbi.nlm.nih.gov] In tricuspid regurgitation, the jugular venous pressure may be elevated and shows a prominent "v" wave, Fig. ( 2 ).[ncbi.nlm.nih.gov]

  • 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]

  • Right Ventricular Disorder

    Pulsus alternans may be present in patients with severe left ventricular failure, and the jugular veins may be distended, with a prominent V wave reflecting tricuspid regurgitation[emedmd.com] liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[clinicaladvisor.com] The R wave will be prominent in V 1 with deep S waves in the lateral precordial leads indicating right ventricular hypertrophy.[phaonlineuniv.org]

  • Ebstein Malformation

    v wave in the jugular pulse may indicate severe tricuspid regurgitation.[emedicine.medscape.com] The symptoms of right heart failure like pulsatile liver, ascites, raised jugular venous pulse are all seen in the patients.[symptoma.com] A and V waves in the right atrial pressure pulse are normal, and the X descent is preserved despite severe tricuspid regurgitation.[de.slideshare.net]

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