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64 Possible Causes for Pulsatile Liver, Right-Sided Heart Failure

  • Pulmonary Arterial Hypertension

    At admission, all patients presented with syncope, World Health Organization functional class IV, right-sided heart failure, and extremely severe hemodynamic parameters.[ncbi.nlm.nih.gov] Jugular venous distension and hepatomegaly occur with heart failure, sometimes causing a pulsatile liver later in the disease state.[clinicaladvisor.com] heart failure, and a high mortality rate.[ncbi.nlm.nih.gov]

  • Cor Pulmonale

    The patient with subacute cor pulmonale had severe right-sided heart failure for 5 weeks and necropsy disclosed microscopic-sized neoplastic pulmonary emboli from a gastric[ncbi.nlm.nih.gov] liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[clinicaladvisor.com] The patient developed progressive exertional dyspnea, with clinical and laboratory findings of right-sided heart failure and pulmonary hypertension.[ncbi.nlm.nih.gov]

  • Tricuspid Valve Insufficiency

    Tricuspid valve regurgitation can also occur with heart conditions that affect the left side of the heart, such as left-sided heart failure that leads to right-sided heart[mayoclinic.org] 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]

  • Ascites

    Portal hypertension is usually caused by liver cirrhosis or, less commonly, outflow obstruction from right-sided heart failure or Budd-Chiari syndrome.[clevelandclinicmeded.com] 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]

  • Hypoventilation

    A physical exam may reveal: Bluish color in the lips, fingers, toes, or skin ( cyanosis ) Reddish skin Signs of right-sided heart failure ( cor pulmonale ), such as swollen[medlineplus.gov] 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] Complications may include right-sided heart failure, called cor pulmonale; swelling in the legs; and pulmonary hypertension, a condition that raises the pressure in the arteries[livehealthy.chron.com]

  • Pulmonary Hypertension

    heart failure or sudden cardiac death. [16, 17 ] In addition to right-sided heart failure, other causes of death include complications that arise because of dilatation of[emedicine.medscape.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] Without effective treatment, PAH can progress to right-sided heart failure and cause premature death.[health.ucsd.edu]

  • Jugular Venous Distention

    Interpretation: Distance between JVP and Sternum Normal: 4 cm or less Increased 4 cm (Jugular Venous Distention) Right-sided Heart Failure (most common) Increased Right Atrial[fpnotebook.com] Tricuspid regurgitation, if significant, will be accompanied by a pulsatile liver (feel over the lower costal margin).[stanfordmedicine25.stanford.edu] Right-sided heart failure usually develops after you have left-sided heart failure. The left ventricle pumps blood out through the aorta to most of your body.[healthline.com]

  • Chronic Right-Sided Congestive Heart Failure

    We will look at what is right sided heart failure here. What Is Right Sided Heart Failure?[newhealthadvisor.com] 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]

  • Heart Valve Disease

    failure symptoms, such as dyspnea on exertion , orthopnea and paroxysmal nocturnal dyspnea [18] Palpitations [18] Pulmonary edema [18] Symptoms of right-sided heart failure[en.wikipedia.org] It allows oxygen-poor blood to flow from the right side of the heart to the lungs for oxygenation.[drugs.com] 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]

  • Endomyocardial Fibrosis

    We currently present a 50-year-old Congolese female who was referred with symptoms of progressive right-sided heart failure due to isolated TEMF of the right ventricle.[ncbi.nlm.nih.gov] liver, hepatomegally, ascites, edema, cyanosis, cachexia and malnutrition.[nigjcardiol.org] A 48-year-old man presented with chronic right sided heart failure. 2D echocardiography revealed the classical features of left ventricular endomyocardial fibrosis with a[ncbi.nlm.nih.gov]

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