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45 Possible Causes for Pulsatile Liver, Right-Sided Congestive Heart Failure

  • Eisenmenger Syndrome

    A third heart sound as well as hepatosplenomegaly or a pulsatile liver occur with right heart failure. 4.2.[ncbi.nlm.nih.gov] sided congestive heart failure, hyperviscosity complications, pulmonary hemorrhage/ hemoptysis and endocarditis.[ncbi.nlm.nih.gov] Rhythm disturbances, particularly atrial fibrillation, corresponds to clinical deterioration and right heart failure.[ncbi.nlm.nih.gov]

  • Tricuspid Valve Insufficiency

    Right heart failure leads to ascites, hepatosplenomegaly, pulsatile liver, peripheral edema and pleural overflow. In advanced stages patients are cachectic and cyanotic.[heartupdate.com] Signs And Symptoms When tricuspid regurgitation is severe it can lead to right sided heart failure and right-sided congestion.[myheart.net] Fatigue, weakness, shortness of breath, jugular vein distension, ascites, hepato-splenomegaly, pulsatile liver, pleural effusions and peripheral oedema may be present.[escardio.org]

  • Cor Pulmonale

    liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[clinicaladvisor.com] Clinical signs are those of right-sided congestive heart failure. cor rugosum see cor villosum (below). cor triatriatum dexter a rare congenital anomaly in which the right[medical-dictionary.thefreedictionary.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]

  • Chronic Right-Sided Congestive Heart Failure

    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] We characterize congestive heart failure as either left sided congestive heart failure or right sided congestive heart failure.[vshcarolinas.com] Hepatomegaly liver pulsatility if there is significant associated tricuspid regurgitation. Jaundice in advanced cases. Ascites in advanced cases.[patient.info]

  • Cardiac Amyloidosis

    liver and 1 bilateral lower extremity pitting edema.[cathlabdigest.com] […] restrictive patterns ( Fig. 4 ), with signs and symptoms of right-sided heart failure: elevated jugular venous pressure, right-sided gallop, hepatomegaly, and peripheral[ncbi.nlm.nih.gov] Physical examination findings were consistent with fluid overload: jugular venous distention, decreased breath sounds at the right base up to the mid lung field, pulsatile[cathlabdigest.com]

  • Pulmonary Hypertension

    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] Pulmonary hypertension is abnormally high blood pressure in the blood vessels of the lungs making the right side of the heart need to work harder than normal.[patientslikeme.com] If swelling of the legs (edema) or fluid retention due to right-sided heart failure is evident, then treatment with diuretics (water pills) may be advised.[emedicinehealth.com]

  • Carcinoid Tumor and Carcinoid Syndrome

    High right-sided heart pressures in the face of pulmonary stenosis secondary to carcinoid may lead to tricuspid regurgitation, hepatomegaly, and a pulsatile liver.[ceaccp.oxfordjournals.org] Tabs Content Clinical Overview Diagnosis Indications for Testing Carcinoid syndrome marked by symptoms of flushing and diarrhea , wheezing, right-sided congestive heart failure[arupconsult.com] […] disease – congestive heart failure , cardiac murmurs, jugular venous distension Predominantly involves the right-side heart valves (tricuspid, pulmonic) – fibrosis, thickening[arupconsult.com]

  • Ascites

    Heart failure - distended jugular veins, palpable thrills and murmurs, enlarged & pulsatile liver; constrictive pericarditis - pulsus paradoxus c.[clinicaladvisor.com] Cardiac abnormalities (eg, congestive failure, physiologic right-side heart obstruction, severe valvular regurgitation) may result in ascites.[emedicine.medscape.com] Cirrhosis - muscle mass loss, icteric sclera, spider angioma, palmar erythema, pedal edema, gynecomastia, prominent abdominal wall veins (caput medusae), palpable firm liver[clinicaladvisor.com]

  • Pulmonary Valve Insufficiency

    liver.[emedicine.medscape.com] Signs And Symptoms When tricuspid regurgitation is severe it can lead to right sided heart failure and right-sided congestion.[myheart.net] The pulsatile liver is a sign of severe regurgitation.[revespcardiol.org]

  • Jugular Venous Distention

    Tricuspid regurgitation, if significant, will be accompanied by a pulsatile liver (feel over the lower costal margin).[stanfordmedicine25.stanford.edu] Left-sided heart failure is generally associated with signs of pulmonary venous congestion, whereas right-sided heart failure is associated with signs of systemic venous congestion[emedicine.medscape.com] Left-sided heart failure results in pulmonary edema and associated dyspnea , while right-sided heart failure induces systemic venous congestion that causes symptoms such as[amboss.com]

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