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.