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128 Possible Causes for Diastolic Murmur, Pulmonary Systolic Murmur, Right Axis Deviation

  • 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] 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

    Diagnostic methods Diagnosis is based on the clinical features, pulse oximetry findings, an abnormal electrocardiogram (right axis deviation, right ventricular hypertrophy[orpha.net] 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

    In the case of large shunts at the top of the heart you can seen raising of the right ventricle, mid diastolic murmur and the third tone can be heard.[remedyland.com] In those with pulmonary hypertension, right axis deviation, right ventricular hypertrophy (RVH) and right atrial hypertrophy (RAH) may be seen.[patient.info] 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]

  • Pulmonary Valve Disease

    ECG: may show right ventricular hypertrophy, right atrial hypertrophy and right axis deviation.[patient.info] 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] EKG Patients with mild stenosis usually do not show any EKG changes excepting for right axis deviation of -100 to -110 which is considered normal in children and adults.[wikidoc.org]

  • Right Ventricular Outflow Obstruction

    Examination revealed an ejection systolic murmur in the pulmonary area. The electrocardiogram showed complete heart block.[onlinejacc.org] murmur at the left parasternal margin.[revespcardiol.org] On examination there was a systolic thrill and a loud ejection murmur in the pulmonary area.[heart.bmj.com]

  • Lutembacher Syndrome

    P wave (bifid P wave in lead II) and QRS complex abnormalities (right bundle branch block, right ventricular hypertrophy, and right axis deviation) can be seen on ECG.[symptoma.com] Systolic murmurs: A pulmonary flow murmur due to increased flow across the pulmonic valve. Tricuspid regurgitation: lower left parasternal area.[patient.info] A loud mid diastolic murmur from the left sternal border to the apex without presystolic accentuation was heard.[jscisociety.com]

  • Ostium Primum Atrial Septal Defect

    In primum defects left axis deviation is seen in most patients with an axis of -30 degrees and very few patients have right axis deviation.[en.wikipedia.org] MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[slideshare.net] […] more audible and a Graham-Steel pulmonary regurgitation diastolic murmur appears.[symptoma.com]

  • Pulmonary Valve Insufficiency

    right bundle branch block and right axis deviation) and right atrial enlargement.[symptoma.com] Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down.[patient.info] […] 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]

  • Ventricular Septal Defect

    In those with pulmonary hypertension, right axis deviation, right ventricular hypertrophy (RVH) and right atrial hypertrophy (RAH) may be seen.[patient.info] In addition to a pansystolic murmur, there may also be a mid/end diastolic murmur mimicking mitral stenosis as well as an ejection systolic murmur mimicking aortic stenosis[radiopaedia.org] There is further turbulent flow into the left ventricle from the left atrium causing the diastolic murmur.[easyauscultation.com]

  • Cor Pulmonale

    Right axis deviation and low voltage may be noted in patients with pulmonary emphysema.[health.am] 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]

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