Rivero-Carvallo sign

System: Heart & Circulation Signs · All heart & circulation signs

What it is — and how it is elicited

The murmur of tricuspid regurgitation becomes louder when the patient breathes in.

What a positive finding suggests

Associated with tricuspid valve regurgitation; the change with breathing helps separate it from mitral regurgitation.

◈ Behind the name

José Manuel Rivero Carvallo (1905–1993), Mexican cardiologist.

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Please note: This page is an educational reference about clinical examination signs. A clinical sign supports — and never replaces — a full clinical evaluation, examination and appropriate testing. A sign being present does not by itself prove a diagnosis, and an absent sign does not rule one out. If you have symptoms that worry you, see a health professional.