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13 Possible Causes for Echocardiogram showing Dilation of Inferior Vena Cava, P Pulmonale, Pulmonary Systolic Murmur

  • Large Ventricular Septal Defect

    […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] , 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] Its clinical characteristics also include a systolic murmur and a palpable thrill on both sides of the chest, dyspnea and poor exercise tolerance.[medical-dictionary.thefreedictionary.com]

  • Cor Pulmonale

    Abdominal ultrasound showed liver congestion with dilatation of the inferior vena cava and of the supra-hepatic veins. Serologies for B and C hepatitis were negative.[scielo.br] 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]

  • Pulmonary Embolism

    Electrocardiographic findings ACS ( n 198) APE ( n 81) TC ( n 21) p value P pulmonale (%) 8 (4) 10 (12) 0 0.014 Right axis deviation (%) 0 6 (7) 0 Left axis deviation (%)[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] pulmonale, right-axis deviation, ST-segment elevation, ST-segment depression, QT prolongation, and incomplete or complete right bundle-branch block. 30, 93 – 110 Of these,[doi.org]

  • Acute Cor Pulmonale

    Peaked P waves in the inferior leads 2.5 mm (P pulmonale) with a rightward P-wave axis (inverted in aVL) Clockwise rotation of the heart with a delayed R/S transition point[lifeinthefastlane.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] […] and pulmonic insufficiency murmurs, and later, distended jugular veins, hepatomegaly, and lower-extremity edema.[merckmanuals.com]

  • Chronic Right-Sided Congestive Heart Failure

    pulmonale.[escardio.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] murmurs could be heard in the pulmonary valve auscultation area; and no pericardial friction sound was apparent.[omicsonline.org]

  • Tricuspid Valve Insufficiency

    Google Scholar 69 Burgess MI, Mogulkoc N, Bright-Thomas RJ, Bishop P, Egan JJ, Ray SG.[doi.org] In the absence of pulmonary hypertension, the murmur is usually low-intensity and early systolic.[patient.info] Right-heat failure and cor pulmonale. In: Crawford MH, DiMarco JP, Paulus WJ, eds. Cardiology. 2nd ed. St Louis, Mo: Mosby; 2004 : 1017.[doi.org]

  • Right Atrial Myxoma

    The inferior vena cava size was mildly dilated (22mm). Abdominal ultrasound report showed hepatomegaly (17.6cm) with coarse hepatic parenchyma.[ncbi.nlm.nih.gov] 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] inferior vena cava.[jmedicalcasereports.biomedcentral.com]

  • Tricuspid Stenosis

    In the absence of pulmonary hypertension, the murmur is usually low-intensity and early systolic.[patient.info] Am J Cardiol 55: 432–438 Google Scholar Ronan JA, Perloff JK, Harrey WP (1965) Systolic clicks and late systolic murmur.[link.springer.com] Tricuspid valve prolapse may present with a midsystolic click and a late systolic murmur, most prominent at the lower left sternal border.[patient.info]

  • Congestive Heart Failure

    In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed.[medlineplus.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] […] especially if you also have other symptoms) You feel a severe crushing chest pain CHF; Congestive heart failure; Left-sided heart failure; Right-sided heart failure - cor pulmonale[medlineplus.gov]

  • Right Ventricular Disorder

    pulmonale.[escardio.org] Clinically, patients with isolated DCRV resemble patients with pulmonary stenosis. Auscultation reveals systolic ejection murmur at upper-mid left precordium.[medical-clinical-reviews.imedpub.com] Mebazza, A, Karpati, P, Renaud, E. “Acute right ventricular failure — from pathophysiology to new treatments”.[clinicaladvisor.com]