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6,081 Possible Causes for Chest Pain, Heart Murmur increased with Valsalva, Paradoxical Splitting of the Second Heart Sound

  • Hypertrophic Cardiomyopathy

    sound; second heart sound usually is normally split but is paradoxically split in some patients with severe outflow gradients; S3 gallop is common in children but signifies[emedicine.com] Apical HCM can lead to drug-refractory chest pain.[ncbi.nlm.nih.gov] , but how about this heart that increases with valsalva?[khanacademy.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]

  • 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] The aortic component of the second heart sound is more or less delayed, depending on the severity of the obstruction, sometimes leading to a paradoxically split second heart[symptoma.com]

  • 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] The patient was admitted to the clinic complaining of atypical chest pain, palpitations, breathlessness at physical efforts, fatigue, and a feeling of fogginess.[ncbi.nlm.nih.gov]

    Missing: Paradoxical Splitting of the Second Heart Sound
  • Pulmonary Arterial Hypertension

    splitting in the presence of severe right ventricular dysfunction; occasionally, the second heart sound may be palpable.[emedicine.medscape.com] This is a case report of diffuse PAVF in a patient with PAH.This case report describes a patient with recurrent hemoptysis and chest pain.[ncbi.nlm.nih.gov] Some symptoms include chest pain, weakness, shortness of breath, and fatigue.[mountsinai.org]

    Missing: Heart Murmur increased with Valsalva
  • Left Bundle Branch Block

    Painful left bundle branch block (LBBB) is a rarely diagnosed chest pain syndrome caused by intermittent LBBB in the absence of myocardial ischemia.[ncbi.nlm.nih.gov] An 81-year-old man was referred to our emergency department with severe persistent chest pain.[ncbi.nlm.nih.gov] Painful LBBB syndrome can coexist with coronary artery disease, complicating the assessment of chest pain in the setting of LBBB.[ncbi.nlm.nih.gov]

    Missing: Heart Murmur increased with Valsalva
  • Diffuse Intraventricular Block

    A 67 year old male with no previous cardiac history or risk factors woke up at midnight with right-sided chest pain.[hqmeded-ecg.blogspot.com] pain, and palpitations, which may be related to cardiac rhythm dis Holter monitor electrocardiography, are dis turbances.[books.google.com] Characteristic history of pleuritic chest pain, or dyspnea, cough, and hemoptysis could suggest pericarditis or pulmonary embolism respectively.[clinicaladvisor.com]

    Missing: Heart Murmur increased with Valsalva
  • Cardiomyopathy

    sound; second heart sound usually is normally split but is paradoxically split in some patients with severe outflow gradients; S3 gallop is common in children but signifies[emedicine.medscape.com] One month after index admission, the patient came back complaining again of chest pain.[ncbi.nlm.nih.gov] You develop chest pain, palpitations, faintness, or other new or unexplained symptoms.[medlineplus.gov]

    Missing: Heart Murmur increased with Valsalva
  • Patent Ductus Arteriosus

    Paradoxical splitting of the second heart sound. (S2) This a result of early closure of the pulmonary valve, and a prolonged period of ejection across the aortic valve.[medicaljoyworks.com] Such an association presenting with chest pain mimicking an infarct aneurysm with angina or a takotsubo cardiomyopathy with chest pain is difficult to differentiate clinically[ncbi.nlm.nih.gov] sound (S 1 ) is typically normal, and the second heart sound (S 2 ) is often obscured by the murmur; phonocardiographic data from the past suggested the occurrence of paradoxical[emedicine.medscape.com]

    Missing: Heart Murmur increased with Valsalva

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