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34 Possible Causes for Cardiac Signs and Symptoms, Poor R Wave Progression, Pulmonary Systolic Murmur

  • Eisenmenger Syndrome

    Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[remedyland.com] Typical clinical signs and symptoms of adults with ES are dyspnea on exertion, fatigue, syncope due to low systemic cardiac output, neurologic abnormalities (e.g. headache[ncbi.nlm.nih.gov] Ejection systolic murmur audible along the left sternal border.[patient.info]

  • Right Ventricular Outflow Obstruction

    Examination revealed an ejection systolic murmur in the pulmonary area. The electrocardiogram showed complete heart block.[onlinejacc.org] The absence of many of the classic signs and symptoms of pericardial tamponade is noted, as is the possibility of unusual changes in the appearance or function of the heart[ncbi.nlm.nih.gov] On examination there was a systolic thrill and a loud ejection murmur in the pulmonary area.[heart.bmj.com]

  • Cor Pulmonale

    R wave progression RAE with and RVH multifocal atrial tachycardia return to top Differential Diagnosis return to top Treatments Consequences and Course return to top The[sharinginhealth.ca] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info] Patients present with signs and symptoms of right ventricular dysfunction and low cardiac output including dyspnea, chest pain and peripheral edema.[ncbi.nlm.nih.gov]

  • Anterior Myocardial Infarction

    The remarkable feature is the poor R wave progression in the V1 and V2 leads and the ST elevation and T wave changes in leads V1 to V4 and I and aVL.[wikidoc.org] 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] Unless the infarction is massive, signs and symptoms of CHF generally do not occur until a few days after the infarction.[lms.rn.com]

  • Pulmonary Embolism

    Signs of pulmonary hypertension, such as palpable impulse over the second left intercostal space, loud P 2, right ventricular S 3 gallop, and a systolic murmur louder on inspiration[emedicine.medscape.com] Syncope and altered mental status, which suggest a compromised cardiac output, are additional signs of a pulmonary embolism [1].[ems1.com] Patients with DVT are at risk of PE, a life-threatening event Diagnosis Signs and symptoms PE is a potentially life-threatening condition, and in severe cases the occurrence[thrombosisadviser.com]

  • Acute Cor Pulmonale

    Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info] […] and pulmonic insufficiency murmurs, and later, distended jugular veins, hepatomegaly, and lower-extremity edema.[merckmanuals.com] Cor pulmonale is RV enlargement and eventually failure secondary to a lung disorder that causes pulmonary artery hypertension.[msdmanuals.com]

  • Lateral Wall Myocardial Infarction

    EKG Examples Shown below is an EKG demonstrating sinus rhythm and a QRS with a rightward axis, as well as wide Q waves in leads I and aVL as well as a poor R wave progression[wikidoc.org] The patient is usually hypotensive, in acute pulmonary oedema with a new systolic murmur present.[bsecho.org] Signs and symptoms The risk of death from an anterior-wall MI is greatest in the first 24 to 48 hours after symptoms begin, so early diagnosis and treatment are critical to[americannursetoday.com]

  • Posterior Myocardial Infarction

    ) LVH (may have QS pattern or poor R wave progression in leads V1-3) RVH (tall R waves in V1 or V2 may mimic true posterior MI) Complete or incomplete LBBB (QS waves or poor[ecg.utah.edu] 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] Depending on the dimensions of the infarcted area, patients may present with low cardiac output symptoms, such as lightheadedness, syncope, sweating, dyspnea.[symptoma.com]

  • Acute Myocardial Infarction

    Biphasic/inverted T waves in V1-5. Poor R wave progression (R wave height 3mm in V3). Abnormal Q waves and T-wave inversion in I and aVL.[lifeinthefastlane.com] 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] Documentation Suggestions Describe clinical signs and symptoms (e.g., crescendo angina, fourth heart sound, left ventricular failure, pain radiating to left arm, etc.).[library.ahima.org]

  • Acute Atrial Infarction

    In contrast, poor R wave progression is commonly observed with LVH and with acute or chronic right ventricular overload.[angelfire.com] 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] […] myxoma is rarely diagnosed on the basis of clinical history, physical examination or chest X-ray, since the signs and symptoms are not sufficiently specific to establish[elsevier.pt]