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15 Possible Causes for Chest Pain, 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] Due to increased atrial pressure occasionally a fourth heart sound can be heard.[doi.org]

  • Mitral Valve Prolapse

    What is the mechanism of chest pain in mitral valve prolapse syndrome ?[drsvenkatesan.com] We describe a case of unsuspected infrahepatic interruption of the inferior vena cava with hemiazygos continuation in a 67-year-old man presenting with chest pain and evidence[ncbi.nlm.nih.gov] […] valve prolapse can cause chest pain in children.[stlouischildrens.org]

  • 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] Tissue plasminogen activator (tPA) was administered 10 min after the onset of chest pain, and emergency percutaneous coronary intervention was performed to induce coronary[ncbi.nlm.nih.gov]

  • 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 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] This maneuver will increase the murmur of HOCM and decrease that of aortic stenosis. This maneuver causes the click of MVP to move earlier in systole.[healio.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]

  • 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] Call your healthcare provider right away if you have any of these: Chest pain Shortness of breath Fever of 100.4 F (38 C) or higher, or as directed Symptoms that don’t get[saintlukeshealthsystem.org]

  • Pericardial Friction Rub

    A history of abrupt-onset chest pain, the presence of a pericardial friction rub, and changes on electrocardiography suggest acute pericarditis, as do PR-segment depression[ncbi.nlm.nih.gov] , and tricuspid stenosis Release of Valsalva maneuver Increases volume of RV and LV Augments murmurs of aortic stenosis, aortic regurgitation (after 4 or 5 beats), and pulmonic[merckmanuals.com] The patient presents with an acute chest pain that may mimic other cardiopulmonary causes.[radiopaedia.org]

  • 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] pain.[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] The result is a decrease in blood flow that may lead to chest pain.[disabled-world.com]

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