Diastolic Murmur & Heart Disease & Pulmonary Systolic Murmur: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Diastolic Murmur, Heart Disease, Pulmonary Systolic Murmur,

Negated

None

Unsure

None

Possible Causes

Patent Ductus Arteriosus

In patients with a large left-to-right shunt, a low-pitched mitral mid-diastolic murmur may be audible at the apex. [medicaljoyworks.com]

Course and Complications  Ejection systolic murmur at birth (due to pulmonary hypertension)  continuous murmur after a few weeks  Development of Pulmonary arterial hypertension [slideshare.net]

To our knowledge, this is the first reported use of OCT use in pediatric patients outside the coronaries, and in patients with congenital heart disease. [ncbi.nlm.nih.gov]

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Eisenmenger Syndrome

murmur pulmonary insufficiency jugular venous distension loud pulmonary component of S2 sound clubbing of extremities peripheral edema Imaging Radiography indication performed [step2.medbullets.com]

Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock. [remedyland.com]

Congenital Heart Disease & Eisenmenger’s Syndrome February 4th-7th is Congenital Heart Disease Awareness week. [pulmonaryhypertensionrn.com]

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Pulmonary Valve Disease

The pulmonary regurgitation, especially if severe and caused by pulmonary hypertension, causes a high-pitched diastolic murmur that might be misinterpreted as aortic regurgitation [symptoma.com]

Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down. [patient.info]

The severity of valvular heart disease varies. [hopkinsmedicine.org]

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Large Ventricular Septal Defect

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. [pedclerk.bsd.uchicago.edu]

loudest at the fourth intercostal space, usually with a thrill, and a loud and widely split pulmonic component of S2 With fixed pulmonary hypertension, diastolic murmur [quizlet.com]

Ventricular Septal Defect (VSD) VSDs represent the commonest form of congenital heart disease. [bcm.edu]

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Innocent Cardiac Murmurs

[…] pansystolic murmur Machinery murmur Mid-diastolic mitral murmur Mid-diastolic murmur Mid-diastolic tricuspid murmur Mid-systolic murmur Mitral late systolic murmur Multiple [icd9data.com]

Heart Diseases in Children: A Pediatrician's Guide is divided into four sections. [books.google.com]

Pulmonary flow murmur Pulmonary flow murmur is a soft systolic murmur, which unlike Still's murmur, is heard at the upper left sternal edge and is harsher and higher pitched [gponline.com]

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Lutembacher Syndrome

A loud mid diastolic murmur from the left sternal border to the apex without presystolic accentuation was heard. [jscisociety.com]

Systolic murmurs: A pulmonary flow murmur due to increased flow across the pulmonic valve. Tricuspid regurgitation: lower left parasternal area. [patient.info]

Disease and Heart Disease in Pregnancy, Kaiser Foundation Hospitals, Panorama City, California, USA [books.google.com]

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Pulmonary Valve Insufficiency

[…] on chronic hemodialysis with a diastolic murmur (group A), 26 patients on chronic hemodialysis without murmurs (group B), and 15 healthy persons (group C). [annals.org]

Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down. [patient.info]

Pulmonary regurgitation in congenital heart disease Rajiv R Chaturvedi, Andrew N Redington Division of Cardiology, The Hospital for Sick Children, Toronto, Ontario, Canada [doi.org]

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Right Ventricular Outflow Obstruction

murmur at the left parasternal margin. [revespcardiol.org]

Examination revealed an ejection systolic murmur in the pulmonary area. The electrocardiogram showed complete heart block. [onlinejacc.org]

disease. [ncbi.nlm.nih.gov]

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Left to Right Cardiac Shunt

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 [amboss.com]

See separate Congenital Heart Disease in Adults article. [patient.info]

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. [merckmanuals.com]

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Aortic Valve Disorder

[…] systolic murmur (crescendo-decrescendo) early diastolic murmur Additional features soft S 2 Austin Flint murmur Investigations A thorough history and clinical examination [gponline.com]

QUESTION: Will the murmur in mitral insufficency (regurgitation) occur during systole or diastole? [courses.washington.edu]

Also called “heart valve disease” What is valvular heart disease? The heart has four chambers. [heartandstroke.ca]

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Aortic Valve Insufficiency

and DM, diastolic murmur. [circ.ahajournals.org]

Ductus Arteriosus Pulmonary stenosis Harsh systolic ejection murmur Right bundle branch block of first sound Systemic hypertension Accentuated second sound Asthma Attack [play.google.com]

Cardiology (Cardiovascular Disease) Aortic regurgitation means that blood flowing out of the heart into the aorta—the largest blood vessel in your body—can flow backwards [sharecare.com]

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Acute Aortic Regurgitation

Early closure of the mitral valve, weak first heart sound, tall A wave of apexcardiogram, and early diastolic murmur indicated acute aortic regurgitation. [ncbi.nlm.nih.gov]

An early systolic murmur and a diastolic blowing murmur with thrill were detected at the left parasternal border. [kjim.org]

Bonow help you to apply all of the latest scientific knowledge and clinical strategies with Valvular Heart Disease, a companion to Braunwald’s Heart Disease. [books.google.com]

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Heart Valve Disease

Murmurs which occur when the heart contracts (squeezes) are called systolic murmurs and those that occur when the heart relaxes are called diastolic murmurs. [irishheart.ie]

Late systolic murmurs are typical of MV prolapse or papillary muscle dysfunction. [ncbi.nlm.nih.gov]

The scenario box highlights the complexities of the management of valvular heart disease in pregnancy. Does pregnancy affect valvular heart disease? [doi.org]

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Pulmonary Valve Stenosis

Soft diastolic murmur at the left upper sternal edge. Right ventricular hypertrophy. Loud P2 (pulmonary component of the second heart sound). [patient.info]

Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea. [ncbi.nlm.nih.gov]

Offering a broad perspective on these diseases, Valvular Heart Disease expands on the recent guidelines developed by the major heart societies in the United State and Europe [books.google.com]

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Pulmonary Atresia

In some patients with severe cyanosis, no murmur can be heard. An early diastolic murmur of aortic regurgitation may be noted. [emedicine.com]

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 [amboss.com]

Pulmonary atresia is a form of heart disease in which the pulmonary valve does not form properly. It is present from birth (congenital heart disease). [nlm.nih.gov]

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Mitral Valve Disease

A mid-late diastolic murmur, best heard, with the patient in the left lateral position, with the bell of the stethoscope (see separate Heart Auscultation article). [patient.info]

Physical examination most often reveals the presence of a mid-systolic click and a mid to late systolic murmur, which reflects the timing of prolapse in the setting of excess [mitralvalverepair.org]

Abstract Aim Rheumatic heart disease is an inflammatory disease of cardiac tissue. [ncbi.nlm.nih.gov]

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Infective Endocarditis

[…] border ; seen in IV drug users ; and concomitant HIV infection ;, immunosuppressed patients, ; and patients with central venous catheters Aortic valve regurgitation early diastolic [amboss.com]

[…] emboli is eventually present in 87% of cases. 95,197 Signs of tricuspid insufficiency (systolic regurgitant murmur louder with inspiration, large V waves, or a pulsatile [doi.org]

Abstract Two children with congenital heart disease status post surgical correction presented with prolonged constitutional symptoms, hepatosplenomegaly and pancytopenia. [ncbi.nlm.nih.gov]

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Mitral Valve Stenosis

The low pitched rumbling murmur starts after the opening snap and lasts until mid diastole. [easyauscultation.com]

Ductus Arteriosus Pulmonary stenosis Harsh systolic ejection murmur Right bundle branch block of first sound Systemic hypertension Accentuated second sound Asthma Attack [play.google.com]

In addition she had severe aortic stenosis with mild to moderate aortic valve regurgitation, which was thought to be rheumatic heart disease. [ncbi.nlm.nih.gov]

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Straight Back Syndrome

Five (10%) patients had both types of murmurs. Diastolic murmurs were not heard in any patient. EKGs were normal in the majority. [ncbi.nlm.nih.gov]

[…] a harsh late systolic ejection murmur; it is asymptomatic but may be misinterpreted by the examiner, causing an otherwise healthy person to become a cardiac 'cripple' straight [medical-dictionary.thefreedictionary.com]

Organic heart disease was excluded by his normal electrocardiogram (EGG) and echocardiogram. [ncbi.nlm.nih.gov]

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Right Heart Endocarditis

This murmur is 2-toned, having a more pronounced sound during systole (when driven by higher pressure) than during diastole. [msdmanuals.com]

In children, congenital heart disease is the major predisposing factor (50% 75%), which is followed by rheumatic heart disease (12%) or a structurally normal heart (14% 40% [clinmedjournals.org]

What is heart valve disease? A valve that is diseased or damaged can affect the flow of blood through the heart. [patient.info]

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Tricuspid Stenosis

A mild diastolic murmur can be heard during auscultation caused by the blood flow through the stenotic valve. [en.wikipedia.org]

In the absence of pulmonary hypertension, the murmur is usually low-intensity and early systolic. [patient.info]

Bonow help you to apply all of the latest scientific knowledge and clinical strategies with Valvular Heart Disease, a companion to Braunwald’s Heart Disease. [books.google.com]

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Atrial Myxoma

He had a low-grade pyrexia and cardiac auscultation revealed a diastolic murmur consistent with 'tumour plop'. He had no sequelae of endocarditis. [ncbi.nlm.nih.gov]

Additional late systolic sound is also present. This patient had severe pulmonary hypertension; that is why S2 was accentuated. [cardiacauscultation.com]

Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 95. Mckenna WJ, Elliott P. [nlm.nih.gov]

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Bacterial Endocarditis

[…] sternal border ; seen in IV drug users; and concomitant HIV infection;, immunosuppressed patients,; and patients with central venous catheters Aortic valve regurgitation early diastolic [amboss.com]

[…] emboli is eventually present in 87% of cases. 95,197 Signs of tricuspid insufficiency (systolic regurgitant murmur louder with inspiration, large V waves, or a pulsatile [doi.org]

Author information 1 1Department of Congenital Heart Diseases and Pediatric Cardiology,Silesian Center for Heart Diseases,Medical University of Silesia,Zabrze,Poland. 2 2Department [ncbi.nlm.nih.gov]

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Congenital Aortic Insufficiency

Case 2 A 20-year-old asymptomatic Chinese boy was found to have grade 3/6 diastolic murmur at the left sternal border. [cardiothoracicsurgery.biomedcentral.com]

About half of patent ductus arteriosus murmurs in children are not truly continuous and many are only systolic. [ncbi.nlm.nih.gov]

Dr Driscoll was chair of the Committee on Cardiovascular Diseases of the Young of the American Heart Association. [books.google.com]

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Tricuspid Valve Disease

The lesion itself produces a low rumbling diastolic murmur, often accompanied by that of a tricuspid regurgitation, which is high-pitched and pansystolic. [symptoma.com]

In the absence of pulmonary hypertension, the murmur is usually low-intensity and early systolic. [patient.info]

[…] of the tricuspid valve in the right-sided heart complications often seen in adults with congenital heart disease. [books.google.com]

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Heart Murmur

Coronary Heart Disease Related Articles What Do I Need to Know about Heart Disease The medical definition of heart disease is any disorder that affects the heart. [emedicinehealth.com]

Most murmurs are systolic and location of a systolic murmur can point toward specific cardiac diagnosis as described in the table below: Upper left sternal border Pulmonary [patient.info]

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Cardiac Myxoma

Typical examination findings include abnormal heart sounds, such as a rumbling diastolic murmur over the apex or a characteristic “ tumor plop.” [amboss.com]

Additional late systolic sound is also present. This patient had severe pulmonary hypertension; that is why S2 was accentuated. [cardiacauscultation.com]

(eds) Braunwald’s Heart Disease, 9th ed, Philadelphia, Elsevier Saunders, 2011, 1638-1650. [pubs.sciepub.com]

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Right Atrial Myxoma

Auscultation can reveal a diastolic heart murmur, but to confirm the diagnosis, transthoracic or transesophageal echocardiography must be performed. [symptoma.com]

A pulmonary ejection murmur with a delayed and accentuated pulmonic second sound may be heard. There may also be an early, late or prolonged diastolic murmur heard. [atlasgeneticsoncology.org]

We are presenting a case of the right atrial myxoma found in a case of rheumatic heart disease. [ncbi.nlm.nih.gov]

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Alcoholic Cardiomyopathy

Third and fourth heart sounds can be heard, and they signify systolic and diastolic dysfunction. [emedicine.com]

Patients who present with cardiomyopathy usually present with heart failure. The symptoms are related to the severity of the disease process. [sharecare.com]

Regular or high alcohol use can hurt your heart and lead to diseases of the heart muscle, called cardiomyopathy. [webmd.com]

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Endocarditis

We detected 2/4th grade diastolic murmur along left sternal border. His blood analysis revealed hematocrit 45%, leucocytes 16500/ mm3, ESR 75 mm/h. [go.gale.com]

[…] heart murmur: Functional murmur (Still's murmur) Diastolic heart murmur: Pulmonary insufficiency (Graham Steell murmur) Aortic insufficiency (Austin Flint murmur) Carey Coombs [zh.wikipedia.org]

An infection of the heart's inner lining (endocardium) or the heart valves. More information Bacterial Endocarditis Ernest G. Brookfield, M.D. [curlie.org]

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