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12 Possible Causes for Chest Pain, Increased Area of Cardiac Dullness, Pansystolic Murmur

  • Congestive Heart Failure

    pain, or pedal edema.[ncbi.nlm.nih.gov] A grade 3/6 pansystolic murmur was heard, and echocardiography revealed severe mitral regurgitation with a hyperechoic obstacle on the posterior mitral valve leaflet, consistent[ncbi.nlm.nih.gov] The first sign of VSR is a pansystolic murmur usually at the left lower sternal border in a patient with acute deterioration and signs of AHF/cardiogenic shock after an AMI[doi.org]

  • Cardiomyopathy

    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] pain, especially after physical exertion or heavy meals; and heart murmurs.[web.archive.org]

  • Rheumatic Fever

    […] upper parts of arms and legs), Sydenham's chorea, subcutaneous nodules, epistaxis, shortness of breath and chest pain.[web.archive.org] murmur or early diastolic murmur at base of heart) Subcutaneous nodules (strong association with carditis) Erythema marginatum§ (bright pink macules or papules on extremities[racgp.org.au] A previously healthy, 9-year-old girl presented to the emergency department with complaints of sore throat, low-grade fever, and intermittent chest pain.[ncbi.nlm.nih.gov]

  • Large Ventricular Septal Defect

    The following are typical symptoms of pulmonary hypertension: Fainting Shortness of breath Chest pain Bluish discoloration of the skin (cyanosis) The skin turns faintly bluish[emedicinehealth.com] Ventricular septal defect-functional types Small-Medium Left Right Shunts w/o Pulmonary HTN Acyanotic, asymptomatic, grade II-IV/VI pansystolic murmur Management May resolve[medical-dictionary.thefreedictionary.com] Classically, a VSD causes a pathognomonic holo- or pansystolic murmur. Auscultation is generally considered sufficient for detecting a significant VSD.[en.wikipedia.org]

  • Endocardial Cushion Defect

    Patients with ES usually present with symptoms such as breathlessness, fatigue, chest pain and syncope [ 4 ].[ncbi.nlm.nih.gov] Identification of a heart murmur (most likely pansystolic, but also ejection systolic or apical mid-diastolic) during cardiac auscultation can raise sufficient clinical suspicion[symptoma.com] She had dyspnea, chest pain and fatigue with mild physical exertion. She also had trouble lying down in a supine position.[ncbi.nlm.nih.gov]

  • Heart Murmur

    area of cardiac dullness Irregular tachycardia Loud first heart sound Mid-systolic click On examination - 2nd heart sound split On examination - apex beat displaced -LVH[icd9data.com] […] adolescence, medically unexplained chest pain is associated with a high prevalence of psychiatric disorders.[ncbi.nlm.nih.gov] Presystolic murmur Presystolic tricuspid murmur Shunt murmur Soft systolic murmur Systolic flow murmur Systolic murmur To-and-fro murmur Tricuspid inspiratory pansystolic[icd9data.com]

  • Post-Infarction Pericarditis

    Considerable amounts of pericardial fluid may muffle heart sounds, increase the area of cardiac dullness, and change the size and shape of the cardiac silhouette.[merckmanuals.com] Often times the symptoms of pericardial disease such as fever, chest pain, and shortness of breath are non-specific, making an accurate diagnosis a challenging task.[books.google.de] Present with a new systolic ejection murmur heard best at the left upper sternal border, with radiation to the neck and a new pansystolic murmur at the apex, with radiation[patient.info]

  • Alcoholic Cardiomyopathy

    I have all the symptoms of cardiomyapothy: irregular heartbeat, minor swelling, fatigue, frequent chest pains, you name it.[lookfordiagnosis.com] murmur were present.[ispub.com] Commonly, a person affected by alcoholic cardiomyopathy experiences discomfort and chest pain. Chest examination may reveal heart murmur.[ic.steadyhealth.com]

  • Pericardial Friction Rub

    area of cardiac dullness Irregular tachycardia Loud first heart sound Mid-systolic click On examination - 2nd heart sound split On examination - apex beat displaced -LVH[icd9data.com] 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] Systolic murmurs may be normal or abnormal. They may be early, mid, or late systolic, or holosystolic (pansystolic).[merckmanuals.com]

  • Tetralogy of Fallot

    Pain -- Innocent Heart Murmurs -- Obesity and Dyslipidemia.[worldcat.org] A pansystolic murmur is usually heard, and the second heart sound is faint or absent.[medical-dictionary.thefreedictionary.com] Cardiac auscultation, revealed a grade IV/VI pansystolic murmur at the left sternal border.[omicsonline.org]

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