Kussmaul's Sign on Physical Exam



What’s the diagnosis?

Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!



- Susan Joseph MD @SusanJosephMD



Kussmaul's sign can be seen any time there is inability of the right heart to accept increased blood volume during inspiration. DDx includes constriction, restrictive cardiomyopathy, severe TR, RV infarct, and other rarer causes of right-sided HF



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