49 Possible Causes for Pulsatile Liver in USA

  • Acute Aortic Regurgitation
    Pulsatile Liver
  • Cor Pulmonale
    Pulsatile Liver

    Hepatojugular reflux and pulsatile liver are signs of RV failure with systemic venous congestion. [1]

  • Congenital Aortic Insufficiency
    Pulsatile Liver
  • Eisenmenger Syndrome
    Pulsatile Liver
  • Pulmonary Arterial Hypertension
    Pulsatile Liver
  • Aortic Valve Insufficiency
    Pulsatile Liver

    (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 (pulsatileliver) 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[2]

  • Chronic Right-Sided Congestive Heart Failure
    Pulsatile Liver
  • Tricuspid Valve Insufficiency
    Pulsatile Liver

    There may be giant C-V waves in the jugular pulse and a palpably (and sometimes visibly) pulsatile liver on abdominal exam.[3]

  • Right Ventricular Hypertrophy

    by elevation in right atrial pressure and systemic venous hypertension leading to hepatic congestion, which combined with tricuspid regurgitation, leads to an enlarged, pulsatileliver and ascites.[4]

  • Aortic Valve Disorder

    often with heave [20] Loud, palpable P 2 , [19] heard best when lying on the left side [20] In acute cases, the murmur and tachycardia may be only distinctive signs. [20] Pulsatileliver Prominent V waves and rapid y descents in jugular venous pressure [19] Inspiratory third heart sound at left lower sternal border (LLSB) [19] Blowing holosystolic murmur[5]

Similar symptoms


  1. Introduction to Cor Pulmonale, Etiology and Pathophysiology of Cor Pulmonale, Epidemiology of Cor Pulmonale, http://emedicine.medscape.com/article/154062-overview
  2. Aortic Regurgitation - Doctors Lounge(TM), http://www.doctorslounge.com/cardiology/disease…
  3. Tricuspid insufficiency, https://en.wikipedia.org/wiki/Tricuspid_insufficiency
  4. Managing Right Ventricular Failure in PAH: An Algorithmic Approach | Advances in PH Journal, http://www.phaonlineuniv.org/Journal/Article.cf…
  5. Valvular heart disease - Wikipedia, https://en.wikipedia.org/wiki/Valvular_heart_disease