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39 Possible Causes for Chest Pain, Poor R Wave Progression, Pulmonary Systolic Murmur

  • Eisenmenger Syndrome

    She had no chest pain, but fever might have been a sign of dissection in this patient.[ncbi.nlm.nih.gov] Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[remedyland.com] The patient has blue skin, chest pain, fatigue, dizziness, blurred vision, shortness of breath and fainting episodes.[symptoma.com]

  • Anterior Myocardial Infarction

    The remarkable feature is the poor R wave progression in the V1 and V2 leads and the ST elevation and T wave changes in leads V1 to V4 and I and aVL.[wikidoc.org] ; anterior myocardial infarction without any chest pain was coincidentally detected.[ncbi.nlm.nih.gov] Diagnosis is made by detection of a new systolic murmur, and by the documentation of giant "V-waves" on the pulmonary capillary wedge tracing.[brown.edu]

  • Pulmonary Embolism

    The immediate 12-lead electrocardiogram (ECG) is commonly used to facilitate differential diagnosis of acute chest pain.[ncbi.nlm.nih.gov] Signs of pulmonary hypertension, such as palpable impulse over the second left intercostal space, loud P 2, right ventricular S 3 gallop, and a systolic murmur louder on inspiration[emedicine.medscape.com] The chest pain remained at the same level.[ncbi.nlm.nih.gov]

  • Cor Pulmonale

    R wave progression RAE with and RVH multifocal atrial tachycardia return to top Differential Diagnosis return to top Treatments Consequences and Course return to top The[sharinginhealth.ca] We describe a patient who presented with chest pain and sudden shortness of breath.[ncbi.nlm.nih.gov] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info]

  • Right Ventricular Outflow Obstruction

    pains, conduction abnormalities and ventricular inflow/outflow tract obstructions that may affect the quality of life.[cardiothoracicsurgery.biomedcentral.com] Examination revealed an ejection systolic murmur in the pulmonary area. The electrocardiogram showed complete heart block.[onlinejacc.org] On examination there was a systolic thrill and a loud ejection murmur in the pulmonary area.[heart.bmj.com]

  • Lateral Wall Myocardial Infarction

    EKG Examples Shown below is an EKG demonstrating sinus rhythm and a QRS with a rightward axis, as well as wide Q waves in leads I and aVL as well as a poor R wave progression[wikidoc.org] A 55-year-old white woman presented to the emergency department with symptoms of dull aching shoulder and chest pain.[ncbi.nlm.nih.gov] The patient is usually hypotensive, in acute pulmonary oedema with a new systolic murmur present.[bsecho.org]

  • Acute Cor Pulmonale

    We emphasize the role played by a good quality chest X-ray early in the management of acute chest pain syndromes.[ncbi.nlm.nih.gov] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info] Symptoms of PH include Shortness of breath during routine activity, such as climbing two flights of stairs Tiredness Chest pain A racing heartbeat Pain on the upper right[icdlist.com]

  • Congenital Pericardium Anomaly

    Her electrocardiogram showed poor R wave progression. Postero-anterior chest -X ray showed cardiac levoposition with borderline cardiac size (Figure1).[ispub.com] Congenital partial absence of the pericardium in a young man with atypical chest pain.[wjgnet.com] In other cases the ECG may show typical findings such as right axis deviation, incomplete or complete right bundle branch block and poor Rwave progression due to clockwise[revportcardiol.org]

  • Posterior Myocardial Infarction

    ) LVH (may have QS pattern or poor R wave progression in leads V1-3) RVH (tall R waves in V1 or V2 may mimic true posterior MI) Complete or incomplete LBBB (QS waves or poor[ecg.utah.edu] Routine use of posterior-leads in the standard assessment of patients with chest pain may identify up to an additional 7% of STEMIs, allowing prompt reperfusion therapy, which[ncbi.nlm.nih.gov] Diagnosis is made by detection of a new systolic murmur, and by the documentation of giant "V-waves" on the pulmonary capillary wedge tracing.[brown.edu]

  • Acute Myocardial Infarction

    Biphasic/inverted T waves in V1-5. Poor R wave progression (R wave height 3mm in V3). Abnormal Q waves and T-wave inversion in I and aVL.[lifeinthefastlane.com] Area under the curves (AUCs) and 95% confidence intervals (CI); P values of baseline levels of MPO for discriminating AMI patients from noncoronary chest pain (NCCP) patients[ncbi.nlm.nih.gov] Diagnosis is made by detection of a new systolic murmur, and by the documentation of giant "V-waves" on the pulmonary capillary wedge tracing.[brown.edu]

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