Create issue ticket

36 Possible Causes for Pulsatile Liver, Right Atrial Hypertrophy

  • Cor Pulmonale

    With development of cor pulmonale, the following additional changes are seen: Right atrial enlargement (P pulmonale) Right ventricular hypertrophy 3.[lifeinthefastlane.com] liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[clinicaladvisor.com] 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]

  • Eisenmenger Syndrome

    […] shunt (e.g., atrial septal defect, ventricular septal defect, patent ductus arteriosus) Electrocardiogram Right atrial enlargement Right ventricular hypertrophy Chest X-ray[echocardiology.org] A third heart sound as well as hepatosplenomegaly or a pulsatile liver occur with right heart failure. 4.2.[ncbi.nlm.nih.gov] Diagnostic methods Diagnosis is based on the clinical features, pulse oximetry findings, an abnormal electrocardiogram (right axis deviation, right ventricular hypertrophy[orpha.net]

  • Ebstein Malformation

    (ASD) or patent foramen ovale (PFO) and their associated shunting) Electrocardiogram Some ECG abnormalities include Tall peaked P waves : right atrial hypertrophy Right bundle[pedclerk.bsd.uchicago.edu] The symptoms of right heart failure like pulsatile liver, ascites, raised jugular venous pulse are all seen in the patients.[symptoma.com] The third abnormality is dilation of the “atrialized” portion of the right ventricle, with variable degrees of hypertrophy and thinning of the wall.[cambridge.org]

  • Tricuspid Valve Insufficiency

    Investigations ECG may show evidence of right atrial hypertrophy with tall peaked P waves; arrhythmias (eg, atrial fibrillation, atrial flutter) occur frequently.[patient.info] Right heart failure leads to ascites, hepatosplenomegaly, pulsatile liver, peripheral edema and pleural overflow. In advanced stages patients are cachectic and cyanotic.[heartupdate.com] Fatigue, weakness, shortness of breath, jugular vein distension, ascites, hepato-splenomegaly, pulsatile liver, pleural effusions and peripheral oedema may be present.[escardio.org]

  • Chronic Right-Sided Congestive Heart Failure

    […] gallop’ (occurs before S1 and is due to blood entering the ventricle during atrial systole hitting the stiff hypertrophied ventricular wall 1,2 pulsus alternans 1,2 right-predominant[radiopaedia.org] 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] Hepatomegaly liver pulsatility if there is significant associated tricuspid regurgitation. Jaundice in advanced cases. Ascites in advanced cases.[patient.info]

  • Jugular Venous Distention

    atrial hypertrophy) Right axis deviation (representing right ventricular hypertrophy) On a 12 lead EKG lead I has a negative QRS and the aVF lead has a positive QRS Chest[physicianassistantexamreview.com] Tricuspid regurgitation, if significant, will be accompanied by a pulsatile liver (feel over the lower costal margin).[stanfordmedicine25.stanford.edu] atrial hypertrophy) Right axis deviation (representing right ventricular hypertrophy) On a 12 lead EKG lead I has a negative QRS and the aVF lead has a positive QRS PE on[physicianassistantexamreview.com]

  • Pulmonary Hypertension

    […] ventricular hypertrophy, and failure.[ncbi.nlm.nih.gov] 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] atrial enlargement, right axis deviation, right ventricular hypertrophy, and characteristic ST depression and T-wave inversions in the anterior leads.[emedicine.medscape.com]

  • Tricuspid Valve Disease

    Chest x-ray may show an atrial bulge in either condition. An ECG may show evidence of right atrial hypertrophy with tall peaked p-waves.[myvmc.com] Hepatojugular reflux, pulsatile liver, and signs of hepatic dysfunction also may be present.[accesssurgery.mhmedical.com] Fatigue, weakness, shortness of breath, jugular vein distension, ascites, hepato-splenomegaly, pulsatile liver, pleural effusions and peripheral oedema may be present.[escardio.org]

  • Acute Cor Pulmonale

    With development of cor pulmonale, the following additional changes are seen: Right atrial enlargement (P pulmonale) Right ventricular hypertrophy 3.[lifeinthefastlane.com] liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[clinicaladvisor.com] liver and ascites.[phaonlineuniv.org]

  • Atrial Myxoma

    Electrocardiography revealed right atrial enlargement, right ventricular hypertrophy, right axis deviation and ST-T wave changes.[pulsus.com] MRI of the brain showed a subacute right thalamic infarct, and an ECG showed left atrial and left ventricular hypertrophy.[ncbi.nlm.nih.gov] […] the muscular septum, and right ventricular hypertrophy.[nigeriamedj.com]

Further symptoms