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15 Possible Causes for Apical Thrust, Diastolic Murmur, Pulmonary Systolic Murmur

  • Aortic Valve Disorder

    QUESTION: Will the murmur in mitral insufficency (regurgitation) occur during systole or diastole?[courses.washington.edu] […] systolic murmur (crescendo-decrescendo) early diastolic murmur Additional features soft S 2 Austin Flint murmur Investigations A thorough history and clinical examination[gponline.com] […] hypertension (presenting with a loud P 2. [18] Signs increase with exercise and pregnancy [18] Systolic murmur of a harsh crescendo-decrescendo type, heard in 2nd right intercostal[en.wikipedia.org]

  • Heart Valve Disease

    Late systolic murmurs are typical of MV prolapse or papillary muscle dysfunction.[ncbi.nlm.nih.gov] Murmurs which occur when the heart contracts (squeezes) are called systolic murmurs and those that occur when the heart relaxes are called diastolic murmurs.[irishheart.ie] The associated murmur is a high-pitched, early diastolic decrescendo murmur. TR This does not produce symptoms but severe cases feature fatigue, anorexia, and bloating.[symptoma.com]

  • Congenital Aortic Insufficiency

    About half of patent ductus arteriosus murmurs in children are not truly continuous and many are only systolic.[ncbi.nlm.nih.gov] Finally, a third murmur, known as an Austin Flint murmur, may be detected. This is a soft, rumbling, low-pitched, late diastolic murmur which is heard best at the apex.[med.ucla.edu] Physical examination Inspection of the thoracic wall may reveal a thrusting apical pulsation.[medical-dictionary.thefreedictionary.com]

  • Aortic Valve Stenosis

    Auscultation of heart sounds reveals a harsh systolic crescendo-decrescendo murmur. The murmur, referred to as diamond shaped, is considered the hallmark of AS.[medical-dictionary.thefreedictionary.com] Such pathology may cause leakage from the valve too and with it an early diastolic murmur.[patient.info] Mitral valve stenosis is associated with a diastolic murmur because of turbulence that occurs as blood flows across the stenotic valve..[cvphysiology.com]

  • Rheumatic Aortic Valve Obstruction

    Increased LA and pulmonary venous pressures large V wave during ventricular systole LAEDP similar to LVEDP as valve not obstructed.[aic.cuhk.edu.hk] […] of the systolic blood pressure: e.g.: BP 140/50 ) Decrescendo Diastolic Murmur -- Increases with increased SVR (handgrip, squatting) Austin Flint murmur -- diastolic rumble[brown.edu] Palpable signs include carotid and peripheral pulses that are reduced in amplitude and slow rising (pulsus parvus et tardus) and an apical impulse that is sustained (thrusts[merckmanuals.com]

  • Congenital Aortic Valve Stenosis

    Aortic stenosis will present with a systolic ejection murmur. Murmur grade and pitch will help differentiate it from an innocent murmur.[clinicaladvisor.com] Such pathology may cause leakage from the valve too and with it an early diastolic murmur.[patient.info] thrust reflecting enlargement of the left side of the heart confirmed by electrocardiography (increased amplitude of the QRS complex with ST and T wave changes, increased[rjmatthewsmd.com]

  • Left Ventricular Outflow Obstruction

    Four hours after thrombolysis she developed acute pulmonary oedema and a new systolic murmur.[ncbi.nlm.nih.gov] Characteristic Physical Examination Findings in LVOTO Diagnosis Mild/Moderate Stenosis Severe Stenosis MSM indicates midsystolic murmur; EDM, early diastolic murmur; AR, aortic[circ.ahajournals.org] Third heart sound (S3) MVR murmur *Acute- poorly tolerated: systolic murmur, shock, pulmonary edema *Chronic-weakness, fatigue, S3 gallop, holosystolic murmur 12 Mitral Valve[slideplayer.com]

  • S3 Gallop

    Innocent or Normal Murmurs-Systolic Vibratory Systolic Murmur (Still’s Murmur) Pulmonic Systolic Murmur (Pulmonary Trunk)* Mammary Soufflé* Peripheral Pulmonic Systolic[slideshare.net] Sensitivity was lower for detecting soft S3 gallops, and specificity was lower when a diastolic murmur was also present.[ncbi.nlm.nih.gov] […] crescendo murmur; 1 mild precordial lift of RV hypertrophy (arrow shows direction of lift); 2 moderate LV thrust (arrow shows direction of thrust).[merckmanuals.com]

  • Pericardial Friction Rub

    The vibration is heard during all or part of systole. Other possible causes of systolic murmurs are structural deformities of the aorta or pulmonary arteries.[mtweb.mtsu.edu] […] crescendo murmur; 1 mild precordial lift of RV hypertrophy (arrow shows direction of lift); 2 moderate LV thrust (arrow shows direction of thrust).[merckmanuals.com] In the remainder, it is heard only in systole; often it is intermittent. Rubs seem closer to the ear than murmurs.[davidklein.org]

  • Supravalvular Aortic Stenosis

    Diagnostic methods The discovery of a systolic murmur may prompt a cardiological examination, potentially showing ventricular hypertrophy.[orpha.net] […] and no diastolic murmur.[ctsnet.org] Palpable signs include carotid and peripheral pulses that are reduced in amplitude and slow rising (pulsus parvus et tardus) and an apical impulse that is sustained (thrusts[merckmanuals.com]

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