Physical Examination

Findings on physical examination may suggest PH, or the presence of underlying conditions associated with PH.

List five physical signs that are suggestive of PH.


Physical signs of PH include:

  • Left parasternal heave
  • Accentuated pulmonary component of the second heart sound
  • Pansystolic murmur of tricuspid regurgitation
  • Raised JVP
  • Hepatomegaly
  • Ascites
  • Peripheral odoema

Other signs may suggest an underlying cause of PH such as:

  • Telangiectasia and sclerodactyly in scleroderma;
  • Inspiratory crackles in interstitial lung disease
  • Spider naevia and palmar erythema in liver disease;
  • Digital clubbing in cyanotic congenital heart disease, interstitial lung disease or liver disease