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37 Possible Causes for Dizziness, Poor R Wave Progression, Pulmonary Systolic Murmur

  • Eisenmenger Syndrome

    The patient has blue skin, chest pain, fatigue, dizziness, blurred vision, shortness of breath and fainting episodes.[symptoma.com] Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[remedyland.com] Ejection systolic murmur audible along the left sternal border.[patient.info]

  • Pulmonary Embolism

    The patient's dizziness improved in ED. Neurological examination returned to base line status but sinus tachycardia and low saturation value on room air were continuing.[ncbi.nlm.nih.gov] Signs of pulmonary hypertension, such as palpable impulse over the second left intercostal space, loud P 2, right ventricular S 3 gallop, and a systolic murmur louder on inspiration[emedicine.medscape.com] […] each individual may experience symptoms differently: Sudden shortness of breath (most common) Chest pain, usually worse with breathing A feeling of anxiety A feeling of dizziness[inovaheart.org]

  • Cor Pulmonale

    Fatigue Failure to thrive/weight loss Dizziness Syncope Dyspnea on exertion Exercise intolerance Chest pain (secondary to RV ischemia) Palpitations Hemoptysis Hemoptysis is[5minuteconsult.com] R wave progression RAE with and RVH multifocal atrial tachycardia return to top Differential Diagnosis return to top Treatments Consequences and Course return to top The[sharinginhealth.ca] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info]

  • Heart Failure

    Dizziness, fatigue, and weakness. Less blood to your major organs and muscles makes you feel tired and weak. Less blood to the brain can cause dizziness or confusion.[webmd.com] Electrocardiography demonstrated poor R-wave progression in leads V1-V3 with right axis deviation and low voltage criteria.[ncbi.nlm.nih.gov] 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]

  • Acute Myocardial Infarction

    A 77-year-old male presented to our hospital with a 4-day history of severe dizziness, mild chest tightness, and dyspnea. An inferior AMI was diagnosed.[ncbi.nlm.nih.gov] Biphasic/inverted T waves in V1-5. Poor R wave progression (R wave height 3mm in V3). Abnormal Q waves and T-wave inversion in I and aVL.[lifeinthefastlane.com] Diagnosis is made by detection of a new systolic murmur, and by the documentation of giant "V-waves" on the pulmonary capillary wedge tracing.[brown.edu]

  • Myocardial Infarction

    A 73-year-old woman complained of dizziness and fatigue with shortness of breath after carbon monoxide intoxication.[ncbi.nlm.nih.gov] Biphasic/inverted T waves in V1-5. Poor R wave progression (R wave height 3mm in V3). Abnormal Q waves and T-wave inversion in I and aVL.[lifeinthefastlane.com] Signs Signs of impaired myocardial function 3 rd / 4 th heart sounds Pan systolic murmur Pericardial rub Pulmonary oedema – crepitations in the lungs Hypotension Quiet first[almostadoctor.co.uk]

  • Anterior Myocardial Infarction

    In addition to pain, other common complaints include nausea, vomiting, dyspnea, shortness of breath, diaphoresis, abdominal pain, fatigue, dizziness, and palpitations.[symptoma.com] The remarkable feature is the poor R wave progression in the V1 and V2 leads and the ST elevation and T wave changes in leads V1 to V4 and I and aVL.[wikidoc.org] Diagnosis is made by detection of a new systolic murmur, and by the documentation of giant "V-waves" on the pulmonary capillary wedge tracing.[brown.edu]

  • Acute Cor Pulmonale

    Fatigue Failure to thrive/weight loss Dizziness Syncope Dyspnea on exertion Exercise intolerance Chest pain (secondary to RV ischemia) Palpitations Hemoptysis Hemoptysis is[5minuteconsult.com] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info] You feel dizzy, lightheaded, or confused. You have new or increased swelling in your abdomen, legs, or feet.[drugs.com]

  • Heart Block

    A 52 year old patient presented with orthostatic dizziness and syncope caused by postural heart block.[ncbi.nlm.nih.gov] […] in leads I and/or aVL R-peak time in lead aVL 0.04s, often with slurred R wave downstroke QRS duration usually 0.12s unless coexisting RBBB Usually see poor R progression[ecg.utah.edu] Cardiovasular examination revealed ejection systolic murmur in the pulmonary area with single S2.[ncbi.nlm.nih.gov]

  • Lateral Wall Myocardial Infarction

    You may also have other symptoms, such as nausea, vomiting, dizziness, and lightheadedness. You may break out in a cold sweat.[icdlist.com] EKG Examples Shown below is an EKG demonstrating sinus rhythm and a QRS with a rightward axis, as well as wide Q waves in leads I and aVL as well as a poor R wave progression[wikidoc.org] The patient is usually hypotensive, in acute pulmonary oedema with a new systolic murmur present.[bsecho.org]

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