Which of the following is a typical consequence of right ventricular hypertrophy?

Right ventricular hypertrophy (RVH) typically occurs in response to conditions that cause increased pressure overload on the right ventricle, such as pulmonary hypertension or chronic lung disease. One notable physical examination finding associated with RVH is a parasternal heave.

A parasternal heave is a palpable impulse that can be felt along the left sternal border and indicates that the right ventricle is enlarged and pushing against the chest wall. This physical sign is a direct manifestation of RVH, as the muscle has thickened and is generating stronger contractions to overcome the heightened pressure it faces. This imparts a noticeable movement of the right ventricle, which can be observed during clinical examination.

In contrast to the options related to hemodynamic parameters or positioning of the heart, a parasternal heave specifically points to the structural changes that occur within the heart as a result of hypertrophy. Therefore, it serves as a clear and typical clinical indicator of right ventricular hypertrophy.