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41 Possible Causes for Biventricular Hypertrophy, Pulmonary Systolic Murmur, Right Heart Endocarditis

  • 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] 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] It is important to correct PDA because it can lead to congestive heart failure and a disease of the right side of the heart (called cor pulmonale) later in life.[texasheart.org]

  • Large Ventricular Septal Defect

    With large VSDs the ECG shows biventricular hypertrophy (BVH) with or without LAH.[patient.info] […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] […] failure Infective endocarditis (bacterial infection of the heart) Pulmonary hypertension (high blood pressure in the lungs) leading to failure of the right side of the heart[ufhealth.org]

  • Atrial Septal Defect

    Biventricular cardiac hypertrophy and heart failure in the presence of a pre-existing atrial septal defect (ASD) are a rare association of primary aldosteronism.[ncbi.nlm.nih.gov] MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[slideshare.net] Rupture of SVA (with progressive heart failure and left-to-right shunting or endocarditis) is the main cause of death and rarely occurs before age 20 years in congenital SVA[emedicine.medscape.com]

  • Eisenmenger Syndrome

    Sometimes, these alterations are superimposed by ECG signs of the underlying cardiac defect (e.g. left or biventricular hypertrophy in univentricular hearts, transposition[ncbi.nlm.nih.gov] Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[remedyland.com] Precordial signs of ES are loud (often palpable) second heart sound and right ventricular heave.[orpha.net]

  • Tetralogy of Fallot

    […] the muscular ventricular septum, obstruction of the right ventricular outflow tract, and right ventricular hypertrophy [ 2 ].[ncbi.nlm.nih.gov] Single S2 - pulmonary valve closure not heard. Systolic ejection murmur - varies in intensity inversely with the degree of RVOT obstruction.[patient.info] , an infection of the inner layer of the heart high pressure in the right side of the heart that can cause an irregular heartbeat (an arrhythmia ) Children whose TOF isn't[kidshealth.org]

  • Congenital Heart Disease

    Right ventricle is small and hypertrophied at 27 weeks, with tricuspid valve size 3 standard deviations below normal for gestational age.[emedicine.medscape.com] […] ejection-type murmurs at the left lower sternal border over the pulmonary area Anemia Weight gain The current medication regimen should also be reviewed for appropriate indications[doi.org] Aortic Valve Chest Pain Coarctation of the Aorta Coronary Artery Fistula Dextrocardia Dilated Cardiomyopathy Double Aortic Arch Double Inlet Left Ventricle Double Outlet Right[hopkinsmedicine.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] Indications The major indications for VSD closure in adults areleft-to-right shunt leading to right and left ventricularoverload, prevention of endocarditis, heart failure[citoday.com] (harsh, long crescendo-decrescendo systolic ejection murmur along the left sternal border).[cancertherapyadvisor.com]

  • Ostium Primum Atrial Septal Defect

    Katz-Wachtel phenomenon (biventricular hypertrophy pattern) is observed. Dr. Mahmut Gokdemir has donated this ECG to our website.[metealpaslan.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 leading causes of death in adults are congestive heart failure & infective endocarditis. DX: Echocardiogram quantifies L. ventricular & atrial size.[enotes.tripod.com]

  • Right Ventricular Outflow Obstruction

    Transthoracic echocardiography revealed biventricular hypertrophy (Panels B–C) with predominant involvement of the right ventricle (RV) and interventricular septum (IVS).[e-coretvasa.cz] Examination revealed an ejection systolic murmur in the pulmonary area. The electrocardiogram showed complete heart block.[onlinejacc.org] Complications Complications of pulmonary stenosis include the following: Increasing severity of stenosis Endocarditis Significant residual pulmonary regurgitation and right[emedicine.medscape.com]

  • Ventricular Septal Defect

    With large VSDs the ECG shows biventricular hypertrophy (BVH) with or without LAH.[patient.info] In addition to a pansystolic murmur, there may also be a mid/end diastolic murmur mimicking mitral stenosis as well as an ejection systolic murmur mimicking aortic stenosis[radiopaedia.org] Echocardiography revealed a vegetation occupying the right-side heart.[ncbi.nlm.nih.gov]