system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 35-year-old lady with Idiopathic pulmonary aery hypeension. Which findings best describe this patient?
assistant
The correct answer is  PAH is characterized by presence of large 'a' waves leading to elevated JVP. S2 is loud, due to higher pressure leading to P2 closing with more force. The systolic murmur in these patients is explained by the presence of tricuspid regurgitation developing due to severe PAH Barrel-shaped chest is seen with COPD.