clinical features
Last reviewed 01/2018
The predominant symptoms and signs include:
- effort intolerance and fatiguability
- praecordial chest pain
- dizziness
- syncope
- angina reflecting a limited cardiac output
- peripheral cyanosis
- haemoptysis may occur
- loud pulmonary component of second heart sound
- if right-sided heart failure has supervened:
- raised JVP with "a" waves
- hepatomegaly and oedema
- right ventricular heave
- posssible heart murmurs - diastolic murmur due to pulomonary incompetence; also pansystolic murmur due to tricuspid incompetence
- ECG shows right ventricular hypertrophy
Reference:
- BHF Factfile (1/2003). Pulmonary Hypertension.