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134 Possible Causes for Atrial Fibrillation, Prominent A-Wave, Pulmonary Systolic Murmur

  • Large Ventricular Septal Defect

    Arrhythmias (especially atrial fibrillation) may develop, often because of enlargement of the left atrium.[pted.org] […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] See Atrial fibrillation, Congenital heart disease. Cf Atrial septal defect.[medical-dictionary.thefreedictionary.com]

  • Eisenmenger Syndrome

    ECG of Eisenmenger syndrome Usually there is right ventricular hypertrophy with prominent P waves.[remedyland.com] Twenty-eight patients (17%) had significant tachyarrhythmia: paroxysmal supraventricular tachycardia (8 patients, 29%), atrial fibrillation (6 patients, 21%), atrial fibrillation[ncbi.nlm.nih.gov] Elevated jugular venous pressure and prominent "v" wave in right heart failure and severe tricuspid regurgitation.[ncbi.nlm.nih.gov]

  • Patent Ductus Arteriosus

    Abstract We describe a case of patent ductus arteriosus (PDA) in a 76-year-old woman with a history of stroke, atrial fibrillation, and chronic obstructive pulmonary disease[ncbi.nlm.nih.gov] Course and Complications  Ejection systolic murmur at birth (due to pulmonary hypertension)  continuous murmur after a few weeks  Development of Pulmonary arterial hypertension[slideshare.net] Individuals with atrial fibrillation are likely to benefit from antidysrhythmic and anticoagulation drugs.[lecturio.com]

  • Posterior Myocardial Infarction

    A common theory is that prominent R-waves may actually represent inverted Q-waves. 1,8 Interestingly, over a third of patients had prominent R-waves in either V1 or V2.[bjcardio.co.uk] A73-year-old man with a history of bronchial asthma and atrial fibrillation was admitted to our hospital because of dyspnea and back pain.[ncbi.nlm.nih.gov] Diagnosis is made by detection of a new systolic murmur, and by the documentation of giant "V-waves" on the pulmonary capillary wedge tracing.[brown.edu]

  • Atrial Septal Defect

    In sinus venosus ASD, it shows left axis deviation and a negative P wave in lead III.[symptoma.com] MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[slideshare.net] The aim of this study was to evaluate the long-term risk of atrial fibrillation (AF) and stroke in patients with atrial septal defect (ASD) diagnosed before the age of 18[ncbi.nlm.nih.gov]

  • Cor Pulmonale

    On electrocardiogram, there was right axis deviation, p-pulmonale, features of right ventricular hypertrophy along with presence of prominent Q waves in leads II, III and[ijem.in] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info] In a recent comprehensive review by Hecht 2 cardiac irregularities, particularly atrial fibrillation, are said to be "quite infrequent" in any type of cor pulmonale.[nejm.org]

  • Pulmonary Valve Disease

    The jugular pulse may have a prominent "A" wave. If the pulmonary regurgitation component is severe, the heart may be enlarged, pulsatile and painful.[symptoma.com] Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down.[patient.info] Read more information about TAVR Watchman Left Atrial Appendage Closure Device This procedure is indicated for stroke risk reduction in non-valvular atrial fibrillation (AFib[inovaheart.org]

  • Left to Right Cardiac Shunt

    Auscultatory findings Harsh h olosystolic murmur over the left lower sternal border ; typically louder in small defects Mid- diastolic murmur over cardiac apex Systolic thrill[amboss.com] fibrillation, bleeding, infection,and tamponade. 26 Rates of atrial fibrillation are verylow ( 2.5%), and arrhythmia is usually transient.Hazards of PFO closure include thrombus[citoday.com] (harsh, long crescendo-decrescendo systolic ejection murmur along the left sternal border).[cancertherapyadvisor.com]

  • Ostium Primum Atrial Septal Defect

    If MR is present, the findings of ASD may be modified Prominent v wave in JVP LV type apex IE may occur (unlike secundum ASD) ECG Incomplete RBBB pattern in v1 as in secundum[heartpearls.com] ECG of a patient with Ostium primum ASD Patients with atrial Septal Defects may have atrial fibrillation, atrial tachycardia, or atrial flutter, but these abnormal heart rhythms[en.wikipedia.org] MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[slideshare.net]

  • Heart Failure

    In patients with considerable tricuspid regurgitation, a prominent systolic pulsation of the liver, attributable to an enlarged right atrial V wave, is often noted.[emedicine.medscape.com] […] failure with reduced ejection fraction; however, the efficacy of these drugs in patients with concomitant atrial fibrillation is uncertain.[ncbi.nlm.nih.gov] The characteristic apical systolic murmur may be absent in patients with severe MR, due to the abrupt and severe elevation of left atrial pressure.[doi.org]

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