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11 Possible Causes for Chest Pain, Heart Murmur increased with Valsalva, Subacute Bacterial Endocarditis

  • 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] SBE prophylaxis: Children with HCM are at increased risk for subacute bacterial endocarditis (SBE).[mottchildren.org]

  • Mitral Valve Prolapse

    What is the mechanism of chest pain in mitral valve prolapse syndrome ?[drsvenkatesan.com] Subacute bacterial endocarditis (SBE) is an infection of the heart involving damaged valves or endothelium.[ncbi.nlm.nih.gov] Starkebaum M, Durack D, Beeson P (1977) The „incubation period“ of subacute bacterial endocarditis. Yale J Biol Med 50: 49–58 PubMed Google Scholar 61.[doi.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] Subacute bacterial endocarditis. Dilatation of the root of the aorta (may also lead to a leaking valve).[patient.info]

  • 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] Subacute bacterial endocarditis. Dilatation of the root of the aorta (may also lead to a leaking valve).[patient.info]

  • 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] Aortic Valve Disease Heart Chest pain Feeling faint or fainting with exertion Shortness of breath Fatigue Heart palpitations Heart murmur Rheumatic fever Hypercholesterolemia[nm.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] Subacute bacterial endocarditis. Dilatation of the root of the aorta (may also lead to a leaking valve).[patient.info]

  • 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] bacterial endocarditis trauma: blunt or penetrating injury or inaccurate mitral valvotomy LVF with resulting valve ring dilatation and functional MR MI resulting in papillary[aic.cuhk.edu.hk]

  • 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]

  • 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] One patient who had infant balloon dilation of the aortic valve and postoperative subacute bacterial endocarditis had moderate-to-severe AI and aortic stenosis (AS).[ncbi.nlm.nih.gov]

  • Pulmonary Valve Insufficiency

    You may need heart valve surgery for these reasons: Defects in your heart valve are causing major heart symptoms, such as chest pain ( angina ), shortness of breath, fainting[nlm.nih.gov] The pulmonary insufficiency murmur is brief, early diastolic and decrescendo and increases with squatting and inspiration. Valsalva maneuver decreases its intensity.[symptoma.com] bacterial endocarditis SBE 亜急性細菌性心内膜炎 systolic blood pressure SBP 収縮期血圧 scleroderma SD 強皮症 Sjogren's syndrome SjS シェーグレン症候群 systemic lupus erythematosus SLE 全身性エリテマトーデス left[square.umin.ac.jp]

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