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277 Possible Causes for Gallop Rhythm, Systolic Thrill at Lower Left Sternal Border

  • Patent Ductus Arteriosus

    An apical diastolic rumble (due to high flow across the mitral valve) or gallop rhythm may be audible if there is a large left-to-right shunt or heart failure develops.[msdmanuals.com]

  • Aortic Valve Stenosis

    As AS severity increases, the findings of systolic heart failure may become more prominent, including an S3 or S4 gallop, the irregular rhythm of atrial fibrillation, an enlarged[doi.org]

  • Apical Myocardial Infarction

    This murmur is loudest along the lower left sternal border and is associated with a palpable parasternal systolic thrill. RV and LV S3 gallops are common.[emedicine.medscape.com]

  • Right Ventricular Hypertrophy

    3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[merckmanuals.com] rhythm, persistent jugular venous distention, systemic hypotension, peripheral vascular disease Laboratory findings Hyponatremia, persistently elevated B-type natriuretic[clevelandclinicmeded.com] Small VSDs typically produce murmurs ranging from a grade 1 to 2/6 high-pitched, short systolic murmur (due to tiny defects that actually close during late systole) to a grade[merckmanuals.com]

  • Tetralogy of Fallot

    Systolic thrill at the lower left sternal border. Aortic ejection click.[patient.info] A patient without cyanosis has a long, loud, systolic murmur with a thrill along the right ventricular outflow tract (RVOT).[patient.info] […] older child with long-standing cyanosis (without surgery) may present with the following signs: Cardiac Right ventricular predominance on palpation or possibly a bulging left[patient.info]

  • Large Ventricular Septal Defect

    3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[merckmanuals.com] Small VSDs typically produce murmurs ranging from a grade 1 to 2/6 high-pitched, short systolic murmur (due to tiny defects that actually close during late systole) to a grade[merckmanuals.com]

  • Tricuspid Valve Insufficiency

    In severe TR, a right jugular venous thrill may be palpable, as may systolic hepatic pulsation and an RV impulse at the left lower sternal border.[merckmanuals.com]

  • Hypertension

    Daily examination should include a funduscopic examination for retinal spasm or edema, lung examination for signs of volume overload, cardiac examination for gallop rhythms[emedicine.medscape.com]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Anemia

    BACKGROUND: Posterior reversible encephalopathy syndrome is a neurotoxic condition that occurs as a result of the failure of posterior circulatory autoregulation in response to acute changes in blood pressure. Overperfusion with resultant disruption of the blood-brain barrier results in vasogenic edema, but not[…][ncbi.nlm.nih.gov]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Congestive Heart Failure

    The major criteria include: Paroxysmal nocturnal dyspnea Distention of neck veins Crepitations Cardiomegaly Acute pulmonary edema S3 gallop rhythm Increased venous pressure[symptoma.com] There may be a gallop rhythm due to presence of S3 (see also the separate Heart Auscultation article) or murmurs of mitral or aortic valve disease.[patient.info]

    Missing: Systolic Thrill at Lower Left Sternal Border

Further symptoms