What is a common clinical sign of right ventricular failure?

A common clinical sign of right ventricular failure is hepatomegaly, often observed through the presence of hepatojugular reflux. This occurs when an increase in venous pressure from the right side of the heart leads to congestion in the hepatic circulation. When pressure is applied to the abdomen, the jugular veins distend, indicating elevated central venous pressure. This clinical sign is particularly relevant because it reflects the heart's inability to effectively pump blood, leading to fluid retention and systemic congestion, which are hallmarks of right-sided heart failure.

The significance of identifying hepatojugular reflux cannot be understated in assessing the severity and the implications of right ventricular dysfunction. It serves as a diagnostic indicator that can guide further evaluation and treatment strategies for patients presenting with symptoms of heart failure. These assessments are critical for differentiating right-sided from left-sided heart failure and monitoring disease progression.