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120 Possible Causes for Exertional Dyspnea, Prominent A-Wave, Pulmonary Systolic Murmur

  • Eisenmenger Syndrome

    ECG of Eisenmenger syndrome Usually there is right ventricular hypertrophy with prominent P waves.[remedyland.com] Clinical manifestations include exertional dyspnea, fatigue, lethargy, central cyanosis, chest pain, palpitations, atrial and ventricular arrhythmias.[orpha.net] Elevated jugular venous pressure and prominent "v" wave in right heart failure and severe tricuspid regurgitation.[ncbi.nlm.nih.gov]

  • Patent Ductus Arteriosus

    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] She had history of dyspnea on exertion and frequent respiratory infections in childhood.[ncbi.nlm.nih.gov] They presented with progressive dyspnea on exertion.[ncbi.nlm.nih.gov]

  • Pulmonary Valve Stenosis

    ECG of pulmonary valve stenosis Electrical axis deviation to right or right ventricular hypertrophy, prominent P wave.[remedyland.com] He became physically active and was free of exertional dyspnea at the 12-month follow-up.[ncbi.nlm.nih.gov] Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[ncbi.nlm.nih.gov]

  • Cor Pulmonale

    On electrocardiogram, there was right axis deviation, p-pulmonale, features of right ventricular hypertrophy along with presence of prominent Q waves in leads II, III and[ijem.in] The patient developed progressive exertional dyspnea, with clinical and laboratory findings of right-sided heart failure and pulmonary hypertension.[ncbi.nlm.nih.gov] 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 Hypertension

    […] for conditions that can produce pulmonary hypertension (murmurs, collagen disease, valve pathology, VTE, OSA, alcohol consumption, chronic respiratory disease) Examination prominent[lifeinthefastlane.com] A 58-year-old woman was referred to our hospital with a chief complaint of exertional dyspnea.[ncbi.nlm.nih.gov] Clinical signs include right ventricular (parasternal) heave, a loud pulmonary second heart sound, murmur of pulmonary regurgitation, systolic murmur of tricuspid regurgitation[patient.info]

  • Pulmonary Valve Disease

    The jugular pulse may have a prominent "A" wave. If the pulmonary regurgitation component is severe, the heart may be enlarged, pulsatile and painful.[symptoma.com] Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down.[patient.info] The pressure wave form in the right atrium shows the characteristic prominent systolic V wave with rapid descent only in the most severe cases.[revespcardiol.org]

  • Heart Failure

    In patients with considerable tricuspid regurgitation, a prominent systolic pulsation of the liver, attributable to an enlarged right atrial V wave, is often noted.[emedicine.medscape.com] 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] Here we present an 80-year-old Asian woman complaining of progressive exertional dyspnea.[ncbi.nlm.nih.gov]

  • Left to Right Cardiac Shunt

    Heart murmurs Arrhythmias Enlargement of the right side of the heart Enlargement of the pulmonary artery Dizziness Fatigue Exertional dyspnea – shortness of breath with physical[healthhype.com] 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[amboss.com] […] with exertion.[quizlet.com]

  • Restrictive Cardiomyopathy

    Examination: JVP 14 cm, prominent V waves and exaggerated Y descent. Hepatosplenomegally, peripheral oedema.[scmr.org] dyspnea and palpitations.[ncbi.nlm.nih.gov] Presentation Usually presents with heart failure but normal systolic function: dyspnoea, fatigue, loud third heart sound, pulmonary oedema, murmurs due to valve incompetence[patient.info]

  • Tricuspid Valve Insufficiency

    Physical Examination Findings on cardiovascular examination in patients with tricuspid regurgitation include the following: S 3 gallop Jugular venous distention with a prominent[emedicine.medscape.com] These may generally include: Peripheral edema Fatigue and weakness Hepatomegaly (congestive) Ascites Dyspnea upon exertion, orthopnea, and paroxysmal nocturnal dyspnea Decreased[symptoma.com] In the absence of pulmonary hypertension, the murmur is usually low-intensity and early systolic.[patient.info]

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