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16 Possible Causes for Chest Pain, Ejection Murmur, Heart Murmur increased with Valsalva

  • Hypertrophic Cardiomyopathy

    Apical HCM can lead to drug-refractory chest pain.[ncbi.nlm.nih.gov] , but how about this heart that increases with valsalva?[khanacademy.org] murmur, and a low-pitched early diastolic murmur immediately after S2 at the apex.[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] murmur that radiates bilaterally to the carotids Best heard in the 2nd right intercostal space Hand grip decreases the intensity of the murmur.[amboss.com]

  • Mitral Valve Prolapse

    What is the mechanism of chest pain in mitral valve prolapse syndrome ?[drsvenkatesan.com] Late systolic murmurs and non-ejection (“mid-late”) systolic clicks. An analysis of 90 patients. Br Heart J. 1968;30:203–18. 17.[aafp.org] Late systolic murmurs and non-ejection (“mid-late”) systolic clicks. An analysis of 90 patients. Br Heart J . 1968;30:203–18. 17.[aafp.org]

  • Heart Murmur

    […] adolescence, medically unexplained chest pain is associated with a high prevalence of psychiatric disorders.[ncbi.nlm.nih.gov] . specifically positive Carvallo's sign describes the increase in intensity of a tricuspid regurgitation murmur with inspiration.[en.wikipedia.org] A grade 3/6 systolic ejection murmur was transmitted clearly to the entire precordium and the back.[ncbi.nlm.nih.gov]

  • Innocent Cardiac Murmurs

    Cardiac symptoms such as palpitations, syncope or chest pain (these may not be pathological in children, but are complex problems).[gponline.com] Maneuvers with auscultation Supine, sitting and standing: Increase pre-load in supine.........exaggerating flow murmurs Valsalva maneuver: Increase intensity of MVP Decrease[pedcard.rush.edu] , R01.0, R01.1, Stll s murmur, aortic ejection sound, diastolic murmur, ejection murmur, innocent heart murmur, physiological murmur, pulmonary ejection sound, turbulence,[ebm-guidelines.com]

  • 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] This obstruction of blood flow to the body from the left heart leads to shortness of breath, fatigue, chest pain and can result ultimately in left heart failure.[louisville.edu]

  • 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] In older children, the clinical diagnosis is easier to establish and is based on findings like a harsh systolic crescendo-descrescendo ejection murmur that peaks in mid-systole[symptoma.com]

  • 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] The physical exam findings include the hallmark feature, which is the crescendo-decrescendo ejection murmur typically auscultated at both the right and left upper sternal[symptoma.com]

  • Rheumatic Aortic Valve Obstruction

    The symptoms may appear slowly or suddenly: Fatigue Chest pain Swollen ankles High pulse rate Shortness of breath Blocking of aortic valve by the deposits leads to aortic[gleneaglesglobalhospitals.com] The Valsalva maneuver decreases the aortic stenosis murmur while it increases the hypertrophic cardiomyopathy murmur.[healio.com] Aortic Stenosis Murmur (Crescendo-Decrescendo Ejection Murmur) Recording provided by Jules Constant, MD.[merckmanuals.com]

  • Supravalvular Aortic Stenosis

    A 17-year old South Asian boy presented himself with chest pain associated with mild to moderate exercise.[ncbi.nlm.nih.gov] Typical heart sounds are a crescendo-decrescendo ejection murmur that increases with maneuvers that increase LV volume and contractility (eg, leg-raising, squatting, Valsalva[merckmanuals.com] Clinical findings included an aortic systolic ejection murmur, absence of an FULL TEXT[annals.org]

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