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44 Possible Causes for Diastolic Murmur, P Pulmonale, Pulmonary Systolic Murmur

  • Eisenmenger Syndrome

    ECG: almost always abnormal; shows features suggestive of right heart hypertrophy (with tall R wave in V1, deep S wave in V6, ST and T wave abnormalities, P pulmonale) as[patient.info] Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[remedyland.com] murmur pulmonary insufficiency jugular venous distension loud pulmonary component of S2 sound clubbing of extremities peripheral edema Imaging Radiography indication performed[medbullets.com]

  • Large Ventricular Septal Defect

    […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] 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]

  • 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] 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] (harsh, long crescendo-decrescendo systolic ejection murmur along the left sternal border).[cancertherapyadvisor.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]

  • Tricuspid Stenosis

    In the absence of pulmonary hypertension, the murmur is usually low-intensity and early systolic.[patient.info] A mild diastolic murmur can be heard during auscultation caused by the blood flow through the stenotic valve.[en.wikipedia.org] Clinical examination classically reveals an elevated jugular venous pressure with a dominant a-wave and slow y-descent, and a mid-diastolic murmur that is heard on praecordial[radiopaedia.org]

  • Right Atrial Myxoma

    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] Auscultation can reveal a diastolic heart murmur, but to confirm the diagnosis, transthoracic or transesophageal echocardiography must be performed.[symptoma.com] Cardiac auscultation revealed mid diastolic murmur at tricuspid area. Beside this other systemic examination were normal.[austinpublishinggroup.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]

  • Malignant Carcinoid Syndrome

    Systolic & Diastolic heart murmur; Pulmonic valve stenosis, Tricuspid insufficiency Wheezing; tremor, telangictasis. Alcohol intolerance.[enotes.tripod.com]

  • Atrial Septal Defect

    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] MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[slideshare.net] 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]

  • Cor Pulmonale

    murmur.[slideshare.net] In ECG, P pulmonale was observed in 58 (99.66%) of cases. 48 (80%) were having right ventricular dilatation and right atrial dilation was observed in 30 (50%) of patients.[scopemed.org] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info]

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