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168 Possible Causes for Diastolic Murmur, Pulmonary Systolic Murmur, Right Ventricular Hypertrophy

  • Patent Ductus Arteriosus

    A large PDA may be associated with signs of biventricular hypertrophy (BVH) and in those with pulmonary hypertension, right ventricular hypertrophy (RVH) may be present.[] In patients with a large left-to-right shunt, a low-pitched mitral mid-diastolic murmur may be audible at the apex.[] Course and Complications  Ejection systolic murmur at birth (due to pulmonary hypertension)  continuous murmur after a few weeks  Development of Pulmonary arterial hypertension[]

  • Eisenmenger Syndrome

    […] shunt (e.g., atrial septal defect, ventricular septal defect, patent ductus arteriosus) Electrocardiogram Right atrial enlargement Right ventricular hypertrophy Chest X-ray[] 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

    The electrocardiogram shows right ventricular hypertrophy and right atrial dilatation, while posteroanterior and lateral chest radiography highlights a dilated pulmonary trunk[] Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down.[] murmur starts at S2-- descrendo (high pitch) signs of aortic regurg Corrigan's pulse Rapid forceful carotid upstroke followed by rapid decline signs of aortic regurg Quincke's[]

  • Large Ventricular Septal Defect

    […] systole and diastole, respectively, with an right ventricular systolic pressure of 93 mm Hg, dilation of the atria and the right ventricle, and right ventricular hypertrophy[] 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.[] 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.[]

  • Pulmonary Valve Insufficiency

    The electrocardiogram may show right ventricular hypertrophy (tall R or QR aspect in V1, negative T wave in V1-V3 and right axis deviation) or dilatation (complete or incomplete[] Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down.[] […] on chronic hemodialysis with a diastolic murmur (group A), 26 patients on chronic hemodialysis without murmurs (group B), and 15 healthy persons (group C).[]

  • Right Ventricular Outflow Obstruction

    All six fetuses with severe pulmonary stenosis and four fetuses with pulmonary atresia had right ventricular hypertrophy.[] Examination revealed an ejection systolic murmur in the pulmonary area. The electrocardiogram showed complete heart block.[] murmur at the left parasternal margin.[]

  • Pulmonary Valve Stenosis

    Cardiovascular magnetic resonance showed right ventricular hypertrophy, pulmonary valve stenosis, peak recorded velocity 4.2 m/s, with thickened pulmonary valve leaflets of[] 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).[]

  • Left to Right Cardiac Shunt

    If a significant shunt is present, ECG may show right axis deviation, right ventricular hypertrophy, or right ventricular conduction delay (an rSR ′ pattern in V1with a tall[] 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[] (harsh, long crescendo-decrescendo systolic ejection murmur along the left sternal border).[]

  • Congenital Heart Disease

    […] and left ventricle so that it receives blood from both sides of the heart, and severe thickening of the muscle of the right ventricle (right ventricular hypertrophy).[] […] 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[] Right ventricular hypertrophy (hi-PER-tro-fe). In this defect, the muscle of the right ventricle is thicker than usual because it has to work harder than normal.[]

  • Trilogy of Fallot

    The trilogy of Fallot is a congenital heart disease consisting of the following defects: pulmonary valve stenosis, right ventricular hypertrophy and atrial septal defect.[] Systolic thrill and murmur are maximal in third or fourth left parasternal area. 2. Systolic murmur is long, and is not preceded by any ejection click. 3.[] murmur; may have an extra heart sound (ejection click); may have a murmur RV dysfunction, arrhythmias See Presentation for more detail.[]

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