Page 21 - PULMONARY ARTERIAL HYPERTENSION

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Physical Examination

• Second heart sound (P2) may be increased and the P2 may demonstrate fixed or

paradoxic splitting.

➢A systolic ejection murmur may be heard over the left sternal border.

• A wave in the jugular venous pulse.

➢A right-sided fourth heart sound (s4) with a left parasternal heave may be

auscultated.

• Signs of underlying cardiac, pulmonary, hepatic, or collagen-vascular disease are

often present.