raised pulmonary vascular resistance
Last reviewed 01/2018
Symptoms include:
- fatigue - due to low cardiac output
- hepatic pain
- ascites
- ankle swelling
Signs include:
- loss of weight and cachexia
- malar flush of mitral facies
- pulse:
- very small, low cardiac output
- often, atrial fibrillation
- jugular venous pressure - may be raised
- cardiac impulses:
- right ventricular hypertrophy
- palpable P2 - due to pulmonary hypertension
- auscultation:
- soft opening snap is often audible. Other mitral murmurs are often difficult to hear because of low flow
- loud P2
- tricuspid pansystolic murmur due to tricuspid incompetence
- liver may be enlarged and pulsatile
- shifting dullness of ascites
- dependent oedema due to right ventricular failure