clinical features
Last edited 08/2022
Symptoms include:- tiredness, weakness, anorexia
- dyspnoea on exertion (most common) (1)
- oedema (abdominal or lower extremities)
- hepatic pain
- symptoms of underlying cause.
Signs include:
- warm, cyanosed extremities
- bounding pulse
- raised JVP or JV distention
- may be functional tricuspid incompetence – prominent or systolic 'v' waves seen in JVP
- gallop rhythm, loud P2 due to pulmonary hypertension, but overlying emphysema may reduce heart sounds
- hepatomegaly, peripheral oedema (best sign of right heart failure but nonspecific), ascites.
Reference:
- (1) Garrison DM, Pendela VS, Memon J. Cor Pulmonale. [Updated 2021 Aug 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430739/ (Accessed on 15 Aug 2022).