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46 Possible Causes for Diastolic Murmur, Impaired Exercise Tolerance, Pulmonary Systolic Murmur

  • Patent Ductus Arteriosus

    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] In patients with a large left-to-right shunt, a low-pitched mitral mid-diastolic murmur may be audible at the apex.[medicaljoyworks.com] A heart murmur occurs in the pulmonary area; the murmur may be continuous, systolic with a short diastolic component, or only systolic, depending on the pulmonary artery pressure[msdmanuals.com]

  • Eisenmenger Syndrome

    Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[remedyland.com] Patients with pre-tricuspid shunts were older, had higher BNP concentrations and lower exercise tolerance compared to patients with post-tricuspid shunts.[ncbi.nlm.nih.gov] murmur pulmonary insufficiency jugular venous distension loud pulmonary component of S2 sound clubbing of extremities peripheral edema Imaging Radiography indication performed[medbullets.com]

  • Heart Valve Disease

    Late systolic murmurs are typical of MV prolapse or papillary muscle dysfunction.[ncbi.nlm.nih.gov] 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] The associated murmur is a high-pitched, early diastolic decrescendo murmur. TR This does not produce symptoms but severe cases feature fatigue, anorexia, and bloating.[symptoma.com]

  • Pulmonary Valve Stenosis

    Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[ncbi.nlm.nih.gov] Soft diastolic murmur at the left upper sternal edge. Right ventricular hypertrophy. Loud P2 (pulmonary component of the second heart sound).[patient.info] Mitral valve stenosis is associated with a diastolic murmur because of turbulence that occurs as blood flows across the stenotic valve..[cvphysiology.com]

  • Alcoholic Cardiomyopathy

    Third and fourth heart sounds can be heard, and they signify systolic and diastolic dysfunction.[emedicine.com] Third and fourth heart sounds can be heard, and they signify systolic and diastolic dysfunction.[emedicine.com] Pulmonary rales signify pulmonary congestion secondary to elevated left atrial and LV end-diastolic pressures.[emedicine.com]

  • Congenital Heart 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[doi.org] […] veins with prominent A and V waves Diffuse, displaced left ventricular impulse; palpable RV impulse Increased first heart sound; persistent splitting of second heart sound Systolic[doi.org]

  • Atrial Septal Defect

    MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[slideshare.net] There is a brief diamond shaped murmur in early systole and another brief diamond shaped murmur in early diastole In the anatomy tab you see an enlarged right atrium and right[easyauscultation.com] If diastolic murmur heard, implies increased flow across tricuspid and elevated pulmonary blood flow With increased L to R shunting, may have ventricular heave CXR: Enlarged[pedclerk.bsd.uchicago.edu]

  • Congestive Heart Failure

    The characteristic apical systolic murmur may be absent in patients with severe MR, due to the abrupt and severe elevation of left atrial pressure.[doi.org] The impairment of exercise tolerance indicated by NYHA classification was markedly improved by PD for both groups.[ncbi.nlm.nih.gov] murmurs and radiographic cardiomegaly.[nichiju.lin.gr.jp]

  • Cor Pulmonale

    Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info] murmur.[slideshare.net] Distended neck veins with raised and/or prominent JVP and visible a or v waves. 3rd/4th heart sounds and pansystolic murmur of tricuspid regurgitation over right heart.[patient.info]

  • Aortic Valve Stenosis

    Auscultation of heart sounds reveals a harsh systolic crescendo-decrescendo murmur. The murmur, referred to as diamond shaped, is considered the hallmark of AS.[medical-dictionary.thefreedictionary.com] Such pathology may cause leakage from the valve too and with it an early diastolic murmur.[patient.info] Mitral valve stenosis is associated with a diastolic murmur because of turbulence that occurs as blood flows across the stenotic valve..[cvphysiology.com]

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