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20 Possible Causes for Echocardiogram showing Dilation of Inferior Vena Cava, Pulmonary Systolic Murmur

  • Large Ventricular Septal Defect

    […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[] , 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[] […] small left to right shunt is small, if the defect is large, the resistance of blood flow between the two ventricles is small, so is the left-right shunt is large, increased pulmonary[]

  • Right Ventricular Outflow Obstruction

    Examination revealed an ejection systolic murmur in the pulmonary area. The electrocardiogram showed complete heart block.[]

  • 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.[] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[] Right heart failure Symptoms: predominant short of breath,palpitation, inappetence,nausea Signs: cyanosis,tachycardia,arrhythmia,subxiphoid systolic murmur or even diastolic[]

  • Congestive Heart Failure

    The characteristic apical systolic murmur may be absent in patients with severe MR, due to the abrupt and severe elevation of left atrial pressure.[] Chest radiography shows pulmonary congestion (this may be unilateral).[] Acute severe MR is manifested by pulmonary oedema and/or cardiogenic shock.[]

  • Acute Myocardial Infarction

    Third and fourth heart sound, systolic murmur if mitral regurgitation or ventricular septal defect develops, pericardial rub.[] There may be signs of congestive heart failure, including pulmonary rales, peripheral oedema, elevated jugular venous pressure.[]

  • Pulmonary Embolism

    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[] murmur over the left sternal border that is louder during inspiration, hepatomegaly, ascites, and dependent pitting edema.[] Patients may have elevated jugular venous pressure, right ventricular heave, palpable impulse in the left second intercostal space, right ventricular S 3 gallop, systolic[]

  • Chronic Right-Sided Congestive Heart Failure

    murmurs could be heard in the pulmonary valve auscultation area; and no pericardial friction sound was apparent.[] […] significantly expanded to the left; the heart rate was 84 beats/min; arrhythmia was evident; the intensity of the first heart sound differed from that of the others; three-to-six systolic[]

  • Acute Cor Pulmonale

    […] and pulmonic insufficiency murmurs, and later, distended jugular veins, hepatomegaly, and lower-extremity edema.[] Cor pulmonale is RV enlargement and eventually failure secondary to a lung disorder that causes pulmonary artery hypertension.[] Key Points Cor pulmonale is RV enlargement and eventually failure secondary to a lung disorder that causes pulmonary artery hypertension.[]

  • Cardiogenic Shock

    The associated parasternal thrill indicates the presence of a ventricular septal defect, whereas the murmur of mitral regurgitation may be limited to early systole.[] […] thrill WITH Pansystolic murmur : ventricular septal ruptured  Mitral regurgitation murmur may be limited to early systole  HOCM : systolic murmur- louder upon valsalva[] The systolic murmur, which becomes louder upon Valsalva and prompt standing, suggests hypertrophic obstructive cardiomyopathy (idiopathic hypertropic subaortic stenosis).[]

  • Restrictive Cardiomyopathy

    Presentation Usually presents with heart failure but normal systolic function: dyspnoea, fatigue, loud third heart sound, pulmonary oedema, murmurs due to valve incompetence[] murmurs of mitral and tricuspid regurgitation may also be auscultated Diagnosis Diagnostic right and left heart catheterization is an important diagnostic modality Pressures[] […] pressures Jugular venous pressure may be increased Left ventricular impulse is usually normal and palpable Third heart sound may be audible due to rapid ventricular filling Systolic[]

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