Physical examination
The classic presentation of TBCP is of right-sided heart
failure-hepatomegaly, ascites, and leg edema[39].
Patients with CP typically have markedly elevated central venous
pressure, and the jugular venous pressure may also rise with inspiration
(Kussmaul sign). The systolic blood pressure may reveal an abnormal
(>10 mm Hg) decrease while inspiration, which is termed
’pulses paradoxus’ and relates to the dissociation of intrathoracic and
intracardiac pressures[40]. Besides, symptoms,
such as weakness, cough, chest pain, night sweats, fever, and
tachycardia may be found.