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534 Possible Causes for Apical Impulse Displaced, Focal Atrophy of Choroid, Prolonged PR Interval

  • Cardiomyopathy

    […] precordial impulse that is displaced laterally and usually is abnormally forceful and enlarged Systolic ejection crescendo-decrescendo murmur Holosystolic murmur at the apex[emedicine.medscape.com] apical impulse, 13,41 muffled heart sounds 41 with a third heart sound, 13,41 a mitral regurgitation murmur 13,41 or signs of pulmonary congestion. 13 Signs of systemic venous[revportcardiol.org] […] gallop is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double carotid arterial pulse Apical[emedicine.medscape.com]

    Missing: Focal Atrophy of Choroid
  • Patent Ductus Arteriosus

    Prominent and laterally displaced apical impulse Due to the left ventricular hypertrophy and dilatation which occurs with large left to right shunts.[medicaljoyworks.com] impulse is laterally displaced; a thrill may be present in the suprasternal notch or in the left infraclavicular region The first heart sound (S 1 ) is typically normal,[emedicine.medscape.com] […] following: If the left-to-right shunt is large, precordial activity is increased, with the magnitude of increased activity related to the magnitude of left-to-right shunt The apical[emedicine.medscape.com]

    Missing: Focal Atrophy of Choroid
  • Rheumatic Fever

    We report on a 10-year-old boy who presented with progressive right side involuntary movements, an apical systolic murmur, prolonged PR interval, and elevated antistreptolysin[ncbi.nlm.nih.gov] PR interval on an electrocardiogram Laboratory Criteria for Diagnosis No specific laboratory test exists for the diagnosis of rheumatic fever Case Classification Confirmed[wwwn.cdc.gov] Minor manifestations include fever, arthralgia and laboratory findings of elevated erythrocyte sedimentation rate, C-reactive protein and prolonged PR interval on ECG.[ncbi.nlm.nih.gov]

    Missing: Focal Atrophy of Choroid
  • Acute Myocarditis

    BACKGROUND: The aim of this study was to evaluate the diagnostic potential of a novel cardiovascular magnetic resonance (CMR) based multiparametric imaging approach in suspected myocarditis and to compare it to traditional Lake Louise criteria (LLC). METHODS: CMR data from 67 patients with suspected acute[…][ncbi.nlm.nih.gov]

    Missing: Focal Atrophy of Choroid
  • Hypertrophic Cardiomyopathy

    […] precordial impulse that is displaced laterally and usually is abnormally forceful and enlarged Systolic ejection crescendo-decrescendo murmur Holosystolic murmur at the apex[emedicine.com] It is in this group of patients that drugs (β-blockers, calcium antagonists) must be given to prolong the PR interval or AV nodal ablation is required to avoid the deleterious[doi.org] […] gallop is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double carotid arterial pulse Apical[emedicine.com]

    Missing: Focal Atrophy of Choroid
  • Alcoholic Cardiomyopathy

    Cardiac percussion and palpation reveal evidence of an enlarged heart with a laterally displaced and diffuse point of maximal impulse.[emedicine.com] ST segment and T wave abnormalities, left ventricular hypertrophy, biatrial enlargement, left atrial enlargement, premature ventricular contractions, prolonged PR interval[ncbi.nlm.nih.gov] One patient had a prolonged PR interval, one had LBBB, and two patients were noted to have RBBB.[jamanetwork.com]

    Missing: Focal Atrophy of Choroid
  • Hemochromatosis

    The spectral domain optical coherence tomography showed retinal pigmentary epithelial atrophy associated with irregularities and focal interruption of the ellipsoid zone.[ncbi.nlm.nih.gov] A thin retina was also observed in the foveolar region associated to a thickened choroid. Full-field electroretinogram showed a decrease of rods and cones responses.[ncbi.nlm.nih.gov]

    Missing: Apical Impulse Displaced
  • Ostium Primum Atrial Septal Defect

    The clinical examination may show a displaced apical impulse, a palpable dilated pulmonary artery, a widely split second heart sound (S2) with a loud pulmonary component in[symptoma.com] Complete heart block may be revealed in ostium primum type Large ASD may have prolonged PR interval 18.[slideshare.net] Patients with ASD may have a prolonged PR interval.[ijcva.com]

    Missing: Focal Atrophy of Choroid
  • Dilated Cardiomyopathy

    apical impulse, 13,41 muffled heart sounds 41 with a third heart sound, 13,41 a mitral regurgitation murmur 13,41 or signs of pulmonary congestion. 13 Signs of systemic venous[revportcardiol.org] Prolongation of the PR interval is often the earliest manifestation of genetic DCM E, and less common manifestations, such as atrial standstill, may develop with progressive[ahajournals.org] […] with the degree of myocardial dysfunction. 39 Occasionally presentation may also be with acute pulmonary edema 41 or arrhythmias. 13,40,42 Physical examination can reveal a displaced[revportcardiol.org]

    Missing: Focal Atrophy of Choroid
  • Left Ventricular Hypertrophy

    There is also first-degree AV block, with a prolonged PR interval of 228 ms.[ecgguru.com]

    Missing: Focal Atrophy of Choroid