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19 Possible Causes for Chest Pain, Dyspnea, Heart Murmur increased with Valsalva

  • Hypertrophic Cardiomyopathy

    AHCM can occur with varied presentations such as chest pain, palpitations, dyspnea, syncope, atrial fibrillation, myocardial infarction, embolic events, ventricular fibrillation[ncbi.nlm.nih.gov] Apical HCM can lead to drug-refractory chest pain.[ncbi.nlm.nih.gov] , but how about this heart that increases with valsalva?[khanacademy.org]

  • Mitral Valve Prolapse

    What is the mechanism of chest pain in mitral valve prolapse syndrome ?[drsvenkatesan.com] She presented with a 4-year history of gradually worsening dyspnea and decreasing exercise tolerance.[ncbi.nlm.nih.gov] A 33-year-old man was investigated for dyspnea on exertion and the presence of a pansystolic murmur.[ncbi.nlm.nih.gov]

  • Aortic Valve Stenosis

    A 69-year-old man presented with shortness of breath and exertional chest pain.[ncbi.nlm.nih.gov] The Valsalva maneuver decreases the aortic stenosis murmur while it increases the hypertrophic cardiomyopathy murmur.[healio.com] Other symptoms associated with AS are related to cardiac failure, such as paroxysmal nocturnal dyspnea, orthopnea, and dyspnea on exertion.[symptoma.com]

  • Mitral Papillary Muscle Rupture

    An octogenarian male patient was admitted with chest pain and dyspnea, and diagnosed with rupture of the papillary muscle after sub-acute myocardial infarction.[library.dctabudhabi.ae] On auscultation of the heart, an early, decrescendo, systolic murmur at the cardiac apex is heard; the murmur decreases with Valsalva maneuver, and increases with the grip[usmleforum.com] An 86-year-old woman with a history of hypertension presented with acute onset of chest pain and evidence of shock (hypotension and tachycardia).[circ.ahajournals.org]

  • Heart Valve Disease

    This can lead to chronic heart problems including heart failure, shortness of breath and chest pain, or enlargement of the heart chambers.[medstarwashington.org] […] sound, (4) no other abnormal sounds or murmurs, and (5) no evidence of ventricular hypertrophy or dilatation and the absence of increased murmur intensity with the Valsalva[ahajournals.org] […] association between N-terminal pro B-type natriuretic peptide (NT-proBNP) and the severity of heart valve diseases in a typical clinical population presenting with acute dyspnea[ncbi.nlm.nih.gov]

  • Mitral Valve Disease

    A 45-year-old man previously diagnosed with myxomatous mitral valve disease was admitted to our hospital with chest pain at rest and on effort.[ncbi.nlm.nih.gov] […] louder with Valsalva maneuver Mitral valve prolapse Mid to late systolic Normal Normal Mid-systolic click Murmur increased with standing TABLE 1 Physical Examination of Patients[aafp.org] When MS progresses, the patient may experience dyspnea on exertion, orthopnea, as well as paroxysmal nocturnal dyspnea.[symptoma.com]

  • Aortic Valve Disorder

    They may experience chest pain, or, in severe cases, heart failure.[heart-valve-surgery.com] […] louder with Valsalva maneuver Mitral valve prolapse Mid to late systolic Normal Normal Mid-systolic click Murmur increased with standing TABLE 1 Physical Examination of Patients[aafp.org] , such as dyspnea on exertion, orthopnea and paroxysmal nocturnal dyspnea [18] Palpitations [18] Pulmonary edema [18] Symptoms of right-sided heart failure, such as ascites[en.wikipedia.org]

  • Aortic Stenosis with Bicuspid Valve

    The symptoms resulted from aortic valve stenosis, such as chest pain, dyspnea and syncope, which subsided after the insertion of an intra-aortic balloon pump.[link.springer.com] […] heard best at heart base may have ejection click radiates to carotid arteries crescendo-decrescendo murmur decreases with standing, Valsalva, or handgrip increases with amyl[medbullets.com] Chest pain in patients with aortic stenosis is the same as chest pain (angina) experienced by patients with coronary artery disease.[medicinenet.com]

  • Congenital Aortic Valve Stenosis

    pain, dizziness, and loss of consciousness with exercise-induced exacerbations.[orpha.net] The Valsalva maneuver decreases the aortic stenosis murmur while it increases the hypertrophic cardiomyopathy murmur.[healio.com] However, congenital aortic valve stenosis patients may have certain complaints, such as asthenia, excessive sleeping, decreased exercise tolerance, presyncope, syncope, dyspnea[symptoma.com]

  • Chordae Tendinae Rupture

    Chest pain. Chest pain associated with Mitral Valve Prolapse is different from chest pain associated with coronary artery disease and is a frequent complaint.[hopkinsmedicine.org] On auscultation of the heart, an early, decrescendo, systolic murmur at the cardiac apex is heard; the murmur decreases with Valsalva maneuver, and increases with the grip[usmleforum.com] […] patients who had primary CTR were older (59.9 /- 1.6 v 52.1 /- 3.1 years, P .029), had a higher prevalence of hypertension (56% v 30%, P .018) and complained more often of dyspnea[ncbi.nlm.nih.gov]

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