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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.[] sided congestive heart failure, hyperviscosity complications, pulmonary hemorrhage/ hemoptysis and endocarditis.[] Rhythm disturbances, particularly atrial fibrillation, corresponds to clinical deterioration and right heart failure.[]

  • 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.[] Signs And Symptoms When tricuspid regurgitation is severe it can lead to right sided heart failure and right-sided congestion.[] Fatigue, weakness, shortness of breath, jugular vein distension, ascites, hepato-splenomegaly, pulsatile liver, pleural effusions and peripheral oedema may be present.[]

  • Cor Pulmonale

    liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[] 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[] Hepatojugular reflux and pulsatile liver are signs of RV failure with systemic venous congestion. In severe disease, ascites can also be present.[]

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

  • Cardiac Amyloidosis

    liver and 1 bilateral lower extremity pitting edema.[] […] restrictive patterns ( Fig. 4 ), with signs and symptoms of right-sided heart failure: elevated jugular venous pressure, right-sided gallop, hepatomegaly, and peripheral[] 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[]

  • 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.[] 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.[] 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.[]

  • 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.[] Tabs Content Clinical Overview Diagnosis Indications for Testing Carcinoid syndrome marked by symptoms of flushing and diarrhea , wheezing, right-sided congestive heart failure[] […] disease – congestive heart failure , cardiac murmurs, jugular venous distension Predominantly involves the right-side heart valves (tricuspid, pulmonic) – fibrosis, thickening[]

  • Ascites

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

  • Pulmonary Valve Insufficiency

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

  • Jugular Venous Distention

    Tricuspid regurgitation, if significant, will be accompanied by a pulsatile liver (feel over the lower costal margin).[] 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[] 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[]

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