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17 Possible Causes for Chest Pain, Heart Murmur increased with Valsalva

  • Hypertrophic Cardiomyopathy

    Apical HCM can lead to drug-refractory chest pain.[] , but how about this heart that increases with valsalva?[] CASE REPORT A 53-year-old Caucasian woman presented with chronic progressive chest pain. She was initially started on treatment for acute coronary syndrome.[]

  • Mitral Valve Prolapse

    What is the mechanism of chest pain in mitral valve prolapse syndrome ?[] 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[] […] valve prolapse can cause chest pain in children.[]

  • Aortic Valve Stenosis

    A 69-year-old man presented with shortness of breath and exertional chest pain.[] The Valsalva maneuver decreases the aortic stenosis murmur while it increases the hypertrophic cardiomyopathy murmur.[] Tissue plasminogen activator (tPA) was administered 10 min after the onset of chest pain, and emergency percutaneous coronary intervention was performed to induce coronary[]

  • Mitral Papillary Muscle 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.[] 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[] Acute mitral regurgitation, particularly due to papillary muscle rupture, or ventricular septal rupture Recurrent ischemic chest pain, with signs of hemodynamic instabilit[]

  • Myocarditis due to Radiation

    However, acute pericarditis is more likely if inspiration and supine position worsens the chest pain, and sitting upright and leaning forward alleviates the chest pain; the[] Harsh crescendo-decrescendo mid systolic murmur that increases with Valsalva or squatting (change in preload and afterload) Loud S4 gallop Bifid atrial pulse Paradoxical splitting[] Signs and symptoms include chest pain, fatigue, shortness of breath, and arrhythmias.[]

  • Heart Murmur

    Chest pain was associated with poorer quality of life and with pain-related disability for youth with co-morbid psychiatric disorder.[] 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.[] . [8] [9] specifically positive Carvallo's sign describes the increase in intensity of a tricuspid regurgitation murmur with inspiration. [10] Abrupt standing Squatting, by[]

  • Valsalva Maneuver

    On rare occasions, the Valsalva maneuver can be used to diminish chest pain in patients with mild coronary disease.[] Valsalva increases murmurs in hypertrophic cardiomyopathy and mitral valve prolapse and decreases them in atrial septal defects and aortic stenosis [1] .[] People who suffer from the sudden, sharp chest pains called angina pectoris usually carry nitroglycerin pills or amyl nitrite for quick, dramatic relief.[]

  • Supravalvular Aortic Stenosis

    A 17-year old South Asian boy presented himself with chest pain associated with mild to moderate exercise.[] Typical heart sounds are a crescendo-decrescendo ejection murmur that increases with maneuvers that increase LV volume and contractility (eg, leg-raising, squatting, Valsalva[] We report the case of a 67-year-old man who had New York Heart Association class III heart failure without chest pain and was found to have supravalvular aortic stenosis secondary[]

  • 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.[] […] 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[] The disease presents in young adults usually in the third or fourth decade with symptoms such as fatigue, palpitations, chest pain, hemoptysis.[]

  • Pulmonary Valve Insufficiency

    According to, this type of chest pain--known as angina--occurs because parts of the heart muscle fail to get enough oxygen-rich blood.[] The pulmonary insufficiency murmur is brief, early diastolic and decrescendo and increases with squatting and inspiration. Valsalva maneuver decreases its intensity.[] Remember when you were 18 years old and you started having left-sided chest pains? Your pains felt as if someone was stabbing you.[]

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