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176 Possible Causes for Cyanosis, Diastolic Murmur, Pulmonary Systolic Murmur

  • Patent Ductus Arteriosus

    We document a patient with differential cyanosis who improved after corrective surgery of both the lesions.[] Course and Complications  Ejection systolic murmur at birth (due to pulmonary hypertension)  continuous murmur after a few weeks  Development of Pulmonary arterial hypertension[] In patients with a large left-to-right shunt, a low-pitched mitral mid-diastolic murmur may be audible at the apex.[]

  • Eisenmenger Syndrome

    Cardiac MRI confirmed an ASD but showed that the cause of the cyanosis was anatomical in origin.[] Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[] murmur pulmonary insufficiency jugular venous distension loud pulmonary component of S2 sound clubbing of extremities peripheral edema Imaging Radiography indication performed[]

  • Pulmonary Valve Disease

    If foramen ovale is patent, right atrial pressure may exceed left atrial pressure, leading to right-to-left shunt and cyanosis. Physical signs also depend on severity.[] Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down.[] The skin will have a blue appearance (cyanosis), because the body's blood contains a low amount of oxygen.[]

  • Left to Right Cardiac Shunt

    The physical exam revealed labial cyanosis, clubbing of the fingers and toes, and both lung and cardiac auscultation were normal.[] Auscultatory findings Harsh h olosystolic murmur over the left lower sternal border ; typically louder in small defects Mid- diastolic murmur over cardiac apex Systolic thrill[] A large left-to-right atrial shunt may produce a rumbling low-pitched diastolic murmur (due to increased tricuspid flow) at the lower sternal borders.[]

  • Pulmonary Atresia

    In some patients with severe cyanosis, no murmur can be heard. An early diastolic murmur of aortic regurgitation may be noted.[] Auscultatory finding: harsh systolic murmur that is best heard over Erb's point and left upper sternal border ; single second heart sound Diagnostics Pulse oximetry : SpO2[] Postnatal diagnosis of pulmonary atresia is associated with greater cyanosis at presentation.[]

  • Pulmonary Valve Stenosis

    Although earlier intervention may produce better results, patients may present late with congestive heart failure and cyanosis.[] Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[] Soft diastolic murmur at the left upper sternal edge. Right ventricular hypertrophy. Loud P2 (pulmonary component of the second heart sound).[]

  • Innocent Cardiac Murmurs

    Signs and symptoms of severe defects in newborns include Rapid breathing Cyanosis - a bluish tint to the skin, lips, and fingernails Fatigue Poor blood circulation Many congenital[] […] cardiac murmur On examination - machinery murmur On examination - pulmonary diastolic murmur On examination - pulmonary systolic murmur On examination - systolic murmur On[] Other abnormal cardiac signs (clubbing, cyanosis, clicks or added sounds, rapid heart rate or high BP).[]

  • Congenital Heart Disease

    KEYWORDS: Late diagnosis; cyanosis; polycythaemia; pulmonary vascular disease[] […] ejection-type murmurs at the left lower sternal border over the pulmonary area Anemia Weight gain The current medication regimen should also be reviewed for appropriate indications[] Babies who have congenital heart defects may have cyanosis and/or tire easily when feeding. As a result, they may not gain weight or grow as they should.[]

  • Large Ventricular Septal Defect

    History of respiratory infections Excessive sweating Assessment-Physical Findings Pallor Prominent anterior chest wall Clubbing Cyanosis Tachypnea Tachycardia Syncope on[] […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[] A smaller defect will lead to a louder murmur Diastolic murmur : Diastolic rumble due to increased flow across mitral valve due to left-to right shunting.[]

  • Lutembacher Syndrome

    A loud mid diastolic murmur from the left sternal border to the apex without presystolic accentuation was heard.[] Systolic murmurs: A pulmonary flow murmur due to increased flow across the pulmonic valve. Tricuspid regurgitation: lower left parasternal area.[] This association in a 15-year-old boy erroneously deemed to be inoperable before referral to the authors' hospital due to cyanosis in the presence of atrial septal defect[]

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