Right ventricular dilatation, right ventricular infarction, rheumatic fever, 

pulmonary hypertension, infective endocarditis, chronic heart disease, carcinoid, Ebstein malformation due to lithium maternal therapy causing apical displacement of the tricuspid valve leaflets leading to atrialization of the right  ventricle

Raised JVP, giant ‘v’ waves, right ventricular parasternal heave, AF, pansystolic murmur at the left lower sternal edge loudest on inspiration. 3rd heart sound, ascites, peripheral oedema, pulsatile and tender hepatomegaly

ECG: Right axis deviation and conduction delay

Chest X-Ray: cardiomegaly 

Echo: Assesses for leaflet abnormalities and estimates pulmonary pressures

Medical: Salt restriction  Diuretics for peripheral oedema

Arrhythmias