Create issue ticket

98 Possible Causes for aVR, Systolic Murmur, T Wave Inversion

  • Aortic Valve Stenosis

    murmur and in asymptomatic patients with a grade 3/6 or louder systolic murmur.[aafp.org] Patients were grouped into treatment (aortic valve replacement [AVR]) and conservative (non-AVR) groups.[ncbi.nlm.nih.gov] At this point there may be signs of ventricular strain pattern (ST segment depression and T wave inversion) on the EKG, suggesting subendocardial ischemia.[en.wikipedia.org]

  • Acute Myocardial Infarction

    The main wave direction of QRS in lead aVR was positive and showed an extreme right axis deviation.[ncbi.nlm.nih.gov] Features may initially be normal but abnormalities include new ST-segment elevation; initially peaked T waves and then T-wave inversion; new Q waves; new conduction defects[patient.info] On day 2, however, the patient's vital signs deteriorated to a state of shock and systolic murmur appeared at the apical region.[ncbi.nlm.nih.gov]

  • Myocardial Infarction

    ECG revealed a diminished R wave in V2-V4 with ST elevation in V2-V5 and in aVR. Biphasic T wave was seen in V2-V6.[ncbi.nlm.nih.gov] Electrocardiography showed a sinus rhythm with Q-wave formation in the inferior wall leads (II, III, aVF), T-wave inversion in the same leads, and borderline QT prolongation[ncbi.nlm.nih.gov] On day 2, however, the patient's vital signs deteriorated to a state of shock and systolic murmur appeared at the apical region.[ncbi.nlm.nih.gov]

  • Secondary Cardiomyopathy

    On examination he was hypertensive and tachycardic with a systolic murmur over the 5th intercostal space at the level of the left mid-clavicular line.[bmcresnotes.biomedcentral.com] Our patient was noted to have ST-segment elevation in lead aVR, which is associated with global myocardial ischemia and Tako-Tsubo cardiomyopathy.[radcliffecardiology.com] These may include electrocardiogram (ECG) changes of QT prolongation and T wave inversion, elevated biochemical markers of myocardial damage and heart failure, and decreased[link.springer.com]

  • Coronary Atherosclerosis

    Although most will recognise the typical ECG features of ST elevation myocardial infarction, the significance of ST elevation in lead aVR may not always be appreciated.[ncbi.nlm.nih.gov] […] or appearance or disappearance of localized ST-elevation followed by T-wave inversion in two or more standard electrocardiograph leads; (c) increase in concentration of serum[doi.org] The ECG can show ST segment shifts and/or T-wave inversions as signs of heart ischemia or injury. However, there are electrically silent areas in the standard monitors.[emedicine.com]

  • Mitral Valve Prolapse

    ARD 45mm One pregnancy without complication, Surgery for threatened aortic dissection First Son MVP, MR, AI ARD 47mm No Second Son MVP, MR Surgery for aortic dissection & AVR[ncbi.nlm.nih.gov] inversion in I–aVL; Q wave in inferior leads T-wave inversion in V 1 –V 2 T-wave inversion in V 1 –V 3 T-wave inversion in V 1 –V 3 Echocardiographic findings Maximal septal[dx.doi.org] Scattered creptus was audible over mid and lower lung fields and a soft systolic murmur was auscultated at apex.[ncbi.nlm.nih.gov]

  • Ischemic Cardiomyopathy

    Amplitudes of T/aVR were automatically computed from median ECG beats at enrollment and endpoints were blindly adjudicated.[ncbi.nlm.nih.gov] […] dysfunction Clinical findings LV and RV failure, sudden death, Cardiomegaly Functional AV valve regurgitation S3 and/or S4 Exertional dyspnea, angina, syncope, sudden death Systolic[merckmanuals.com] Since ischemic repolarization abnormalities in the left ventricular (LV) apex are strongly correlated with discordant T waves in lead aVR, we sought to evaluate the clinical[ncbi.nlm.nih.gov]

  • Lateral Wall Myocardial Infarction

    UZMA ANSARI Oct 15, 2010 January 2004 ST elevation ST depression V1-V4, lead I, aVL, often in aVR II, III, aVF (Inferior) often V5 aVL aVR III II 43.[slideshare.net] These feature are suggestive of posterior wall infarction, being the inverse of Q wave, ST elevation and T wave inversion which would have been recorded in a posterior lead[cardiophile.org] Diagnosis is made by detection of a new systolic ejection murmur, often associated with a precordial thrill.[brown.edu]

  • Viral Myocarditis

    Cardiogenic shock in fulminant cases Auscultation findings Brief systolic murmurs Heart failure S3 (and S4 ) gallops Pericarditis pericardial friction rub The clinical manifestation[amboss.com] Pericarditis on EKG: a diagnosis of exclusion - particularly must exclude ACS Diffuse ST elevations with depressions allowed in V1 or aVR.[hippoed.com] On arrival at the ED a repeat EKG shows some ST elevations in V4-V6, without any reciprocal changes or T wave inversions.[hippoed.com]

  • Heart Valve Disease

    Bioprosthesis AVR plus no risk factor*Aspirin, 80–100 mg/d I AVR plus risk factor*Warfarin, INR 2 to 3 I MVR plus no risk factor*Aspirin, 80–100 mg/d I MVR plus risk factor[ahajournals.org] 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] Early systolic murmurs are typical of acute MR. Late systolic murmurs are typical of MV prolapse or papillary muscle dysfunction.[ncbi.nlm.nih.gov]

Similar symptoms