Right Ventricular Heave
Visible or palpable chest wall impulses, known as heaves/lifts, may be from a variety of causes such as valvular regurgitation, pressure overload, or cardiac aneurysms.
Patient 1:
This is an older man who was admitted to the hospital with chronic progressive dyspnea and was found to have severe pulmonary hypertension from chronic thromboembolic disease.
This patient also has Kussmaul’s sign.