Name common clinical features of PH
Patients with early PH may be asymptomatic.
Common clinical features
Dyspnea and/or syncope on exertion
Chest pain
Fatigue
Cyanosis
Clinical features of underlying etiology (e.g., COPD, OSA, PE)
Name less common clinical features
Hoarseness
Cough, hemoptysis
Name physical examination findings of PH
Loud and palpable second heart sound (often split)
Jugular vein distention
Symptoms of right heart failure (e.g., palpitations, peripheral edema, hepatojugular reflux)
Nail clubbing
Parasternal heave
-> Clinical symptoms may be inconspicuous, especially in the early stages when symptoms of underlying diseases such as COPD may eclipse those of PH.
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