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38 Possible Causes for Fatigue, Poor R Wave Progression, Pulmonary Systolic Murmur

  • Eisenmenger Syndrome

    Heart rate recovery at the first minute (HRR 1 ) and perceived effort Borg scale for dyspnea and lower limb fatigue were recorded in both tests scenarios.[ncbi.nlm.nih.gov] 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]

  • Cor Pulmonale

    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] ., dyspnea, fatigue) and signs (e.g., edema, rales), hospitalizations, poor quality of life, and shortened survival.[accessmedicine.mhmedical.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]

  • Pulmonary Embolism

    We present an 88-year-old female with dyspnea and fatigue, which became increasingly worse over a month in the absence of medication. Her weight was 64 kg.[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] […] markedly impaired with increased likelihood of developing long-term complications, such as RV dysfunction and pulmonary hypertension with associated exercise intolerance, fatigue[circ.ahajournals.org]

  • Right Ventricular Outflow Obstruction

    Symptoms then include fatigue, dyspnea on exertion, cyanosis, and right heart failure.[radiologykey.com] Examination revealed an ejection systolic murmur in the pulmonary area. The electrocardiogram showed complete heart block.[onlinejacc.org] On examination there was a systolic thrill and a loud ejection murmur in the pulmonary area.[heart.bmj.com]

  • Heart Failure

    Electrocardiography demonstrated poor R-wave progression in leads V1-V3 with right axis deviation and low voltage criteria.[ncbi.nlm.nih.gov] Fatigue and exertion fatigue. From description through validation to application of the Dutch Fatigue Scale (DUFS) and the Dutch exertion scale (DEFS).[dx.doi.org] 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 Cor Pulmonale

    A person with cor pulmonale has a chronic cough, experiences difficulty in breathing after exertion, wheezes, and is weak and easily fatigued.[britannica.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] Nonspecific: fatigue, tachypnea, exertional dyspnea, cough, anginal chest pain, hemoptysis, hoarseness What nonspecific signs may indicate underlying lung disease Increase[quizlet.com]

  • Anterior Myocardial Infarction

    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] In addition to pain, other common complaints include nausea, vomiting, dyspnea, shortness of breath, diaphoresis, abdominal pain, fatigue, dizziness, and palpitations.[symptoma.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]

  • Acute Myocardial Infarction

    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] However, GAD was also highly associated with impaired psychological well-being, stress and fatigue (p CONCLUSIONS: In AMI patients, GAD was independently associated with less[ncbi.nlm.nih.gov] 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

    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] She denied any chest pain, shortness of breath, fatigue, lightheadedness, palpitations, nausea or diaphoresis. Her initial laboratory Troponin I resulted 35.9 ng/mL.[ncbi.nlm.nih.gov] 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]

  • Heart Block

    […] 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] Second-degree heart block can cause dizziness, fainting, chest pain, fatigue, shortness of breath and nausea.[ucirvinehealth.org] Cardiovasular examination revealed ejection systolic murmur in the pulmonary area with single S2.[ncbi.nlm.nih.gov]

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