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Pulsatile hepatomegaly in constrictive pericarditis.

P Manga, S Vythilingum, A S Mitha

    British Heart Journal
    |October 1, 1984
    PubMed
    Summary
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    Pulsatile hepatomegaly, a liver pulsation sign, is common in constrictive pericarditis. Its disappearance after surgery indicates successful pericardiectomy, while persistence suggests inadequate relief.

    Area of Science:

    • Cardiology
    • Internal Medicine
    • Medical Diagnostics

    Background:

    • Constrictive pericarditis is a serious cardiac condition.
    • Accurate diagnosis and assessment of treatment efficacy are crucial.
    • Pulsatile hepatomegaly is a potential but underrecognized clinical sign.

    Purpose of the Study:

    • To investigate the prevalence of pulsatile hepatomegaly in constrictive pericarditis.
    • To evaluate its correlation with surgical outcomes after pericardiectomy.

    Main Methods:

    • Study included 30 consecutive patients diagnosed with constrictive pericarditis.
    • Clinical examination, radiological imaging, and echocardiography were used for diagnosis.
    • Hepatic pulsations were assessed clinically and via external recordings, compared to jugular venous pulsations.

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    Main Results:

    • Pulsatile hepatomegaly was observed in 70% (21/30) of patients.
    • Hepatic pulsations closely mimicked jugular venous pulsations.
    • Successful pericardiectomy led to the disappearance of hepatic pulsations.

    Conclusions:

    • Pulsatile hepatomegaly is a frequent finding in constrictive pericarditis.
    • Its resolution post-pericardiectomy suggests surgical success.
    • Persistent pulsatile hepatomegaly may indicate suboptimal relief, serving as a valuable prognostic indicator.