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13 Possible Causes for Biventricular Hypertrophy, Right Axis Deviation, 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] In cases of elevated pulmonary artery pressure, right axis deviation, right ventricular hypertrophy, and right atrial enlargement may be evident on ECG.[circ.ahajournals.org]

  • 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] In those with pulmonary hypertension, right axis deviation, right ventricular hypertrophy (RVH) and right atrial hypertrophy (RAH) may be seen.[patient.info]

  • Biventricular Hypertrophy

    RESULTS: Biventricular hypertrophy was found in 21% of the study population.[ncbi.nlm.nih.gov] In the presence of LVH – Additional signs indicating RVH : Right atrial enlargement. Right axis deviation. Tall biphasic QRS complexes in multiple leads.[lifeinthefastlane.com] 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]

  • Right Ventricular Hypertrophy

    […] determinants of biventricular hypertrophy are still undefined.[ncbi.nlm.nih.gov] Example 4 Right ventricular hypertrophy in a patient with arrhythmogenic right ventricular cardiomyopathy (ARVC): Right axis deviation.[lifeinthefastlane.com] 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]

  • Acyanotic Congenital Heart Disease

    AR, Aortic regurgitation; ASD, atrial septal defect; BP, blood pressure; BVH, biventricular hypertrophy; CDG, congenital disorders of glycosylation; CHD, congenital heart[unboundmedicine.com] […] bundle branch block -secundum ASD – right axis deviation -partial AVSD – left axis deviation (superior axis) 20.[slideshare.net] 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]

  • Tetralogy of Fallot

    […] the muscular ventricular septum, obstruction of the right ventricular outflow tract, and right ventricular hypertrophy [ 2 ].[ncbi.nlm.nih.gov] Example 4 Right ventricular hypertrophy in a patient with arrhythmogenic right ventricular cardiomyopathy (ARVC): Right axis deviation.[litfl.com] Systolic thrill at the lower left sternal border. Aortic ejection click.[patient.info]

  • Left to Right Cardiac Shunt

    If a significant shunt is present, ECG may show right axis deviation, right ventricular hypertrophy, or right ventricular conduction delay (an rSR ′ pattern in V1with a tall[merckmanuals.com] 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] deviation of the QRS complex while those with a secundum ASD have a right axis deviation of the QRS complex.[marmur.com]

  • Congenital Absence of 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] […] bundle branch block is common (but may occur in normal children), right axis deviation due to right ventricular enlargement Partial AVSD a superior QRS axis (mainly negative[rcemlearning.co.uk] 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]

  • Anomalies of Great Veins, Congenital

    It may be normal in a small lesion or show LVH and left atrial enlargement (LAE) or biventricular hypertrophy (BVH) and LAE with very large lesions.[ahcmedia.com] ECG shows right axis deviation, right ventricular hypertrophy, and occasionally right atrial enlargement.[merckmanuals.com] axis deviation due to RVH Tall P waves due to right atrial hypertrophy Right bundle branch block Prolonged PR interval WPW syndrome Treatment Cyanosis usually worsens as[amboss.com]