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13 Possible Causes for Biventricular Hypertrophy, Prominent A-Wave, Systolic Thrill at Lower Left Sternal Border

  • Patent Ductus Arteriosus

    A large PDA may be associated with signs of biventricular hypertrophy (BVH) and in those with pulmonary hypertension, right ventricular hypertrophy (RVH) may be present.[patient.info] In the patient with a large ductus arteriosus and elevated pulmonary artery pressure, signs of right atrial enlargement and biventricular hypertrophy are frequently present[doi.org] ECG is often normal in small or moderate PDA but there may be signs of left ventricular hypertrophy (LVH).[patient.info]

  • Ventricular Septal Defect

    With large VSDs the ECG shows biventricular hypertrophy (BVH) with or without LAH.[patient.info] 3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[msdmanuals.com] The electrocardiogram may show features of either left or right ventricular hypertrophy, but often shows features of biventricular hypertrophy (Figure 12 ).[ojrd.biomedcentral.com]

  • Large Ventricular Septal Defect

    With large VSDs the ECG shows biventricular hypertrophy (BVH) with or without LAH.[patient.info] 3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[merckmanuals.com] With a moderate VSD, left ventricular hypertrophy (LVH) and occasionally left atrial hypertrophy (LAH) may be seen.[patient.info]

  • Biventricular Hypertrophy

    ST elevation in the right precordial leads V1-3 (“discordant” to the deep S waves). Prominent U waves (proportional to increased QRS amplitude).[litfl.com] RESULTS: Biventricular hypertrophy was found in 21% of the study population.[ncbi.nlm.nih.gov] 3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[msdmanuals.com]

  • Tetralogy of Fallot

    Additionally, right atrial enlargement is manifested by prominent P waves in V1 (*). Right ventricular hypertrophy is demonstrated by a rightward deviated axis.[pedclerk.bsd.uchicago.edu] […] the muscular ventricular septum, obstruction of the right ventricular outflow tract, and right ventricular hypertrophy [ 2 ].[ncbi.nlm.nih.gov] Systolic thrill at the lower left sternal border. Aortic ejection click.[patient.info]

  • Acyanotic Congenital Heart Disease

    […] with TR VSD with LV to RA shunt Prominent v waves if elevated in above conditions JVP usually normal even in Eisenmenger Sy. 42 Manish Chandra Prabhakar JVP in Cyanotic Heart[authorstream.com] AR, Aortic regurgitation; ASD, atrial septal defect; BP, blood pressure; BVH, biventricular hypertrophy; CDG, congenital disorders of glycosylation; CHD, congenital heart[unboundmedicine.com] Physical Signs Systolic thrill at the lower and middle left sternal border Loud single S2 Loud systolic ejection murmur at the lower left sternal border With increasing right[rcemlearning.co.uk]

  • Right Ventricular Hypertrophy

    Q waves simulating an IMI appear in leads 2,3, and aVF.[wikidoc.org] […] determinants of biventricular hypertrophy are still undefined.[ncbi.nlm.nih.gov] 3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[merckmanuals.com]

  • 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]

  • Congenital Heart Block

    […] impulse (heave) Investigations Chest radiograph Normal or post-stenotic dilatation of the pulmonary artery ECG Shows evidence of right ventricular hypertrophy (upright T wave[rcemlearning.co.uk] AR, Aortic regurgitation; ASD, atrial septal defect; BP, blood pressure; BVH, biventricular hypertrophy; CDG, congenital disorders of glycosylation; CHD, congenital heart[unboundmedicine.com] Physical Signs Systolic thrill at the lower and middle left sternal border Loud single S2 Loud systolic ejection murmur at the lower left sternal border With increasing right[rcemlearning.co.uk]

  • Congenital Absence of Ductus Arteriosus

    […] impulse (heave) Investigations Chest radiograph Normal or post-stenotic dilatation of the pulmonary artery ECG Shows evidence of right ventricular hypertrophy (upright T wave[rcemlearning.co.uk] A large PDA may be associated with signs of biventricular hypertrophy (BVH) and in those with pulmonary hypertension, right ventricular hypertrophy (RVH) may be present.[patient.info] 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]

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