Fast Five Quiz: Pulmonary Arterial Hypertension Presentation and Diagnosis

Vikramjit Khangoora, MD

Disclosures

May 17, 2022

In patients with PAH, JVP is typically elevated with a prominent A wave seen. A prominent V wave may be seen with severe right ventricular failure and significant tricuspid regurgitation.

Other findings on physical examination include:

  • Right-sided S4 with left parasternal heave

  • Holosystolic murmur of tricuspid regurgitation

  • Wide splitting second heart sound with increased intensity

  • Hepatomegaly

  • Peripheral edema

  • Ascites

  • Pleural effusion

Splenomegaly is rarely present in PAH but may be seen in PAH owing to schistosomiasis.

Learn more about PAH.

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