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24 Possible Causes for Graham Steell Murmur, Prominent A-Wave

  • Eisenmenger Syndrome

    ECG of Eisenmenger syndrome Usually there is right ventricular hypertrophy with prominent P waves.[remedyland.com] Graham Steell murmur: a diastolic murmur audible along the left sternal border due to functional incompetence of the pulmonary valve in patients with pulmonary hypertension[patient.info] The Graham Steell murmur is a high-pitched, decrescendo murmur, loudest during inspiration. Differential diagnosis Primary pulmonary hypertension .[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] Pulmonic regurgitation (Graham Steell murmur) may be apparent. A murmur of tricuspid regurgitation can be present, and a right ventricular lift (heave) may be noted.[emedicine.medscape.com] Steell murmur) may be apparent A murmur of tricuspid regurgitation can be present, and a right ventricular lift (heave) may be noted Jugular venous pulsations may be elevated[emedicine.medscape.com]

  • Patent Ductus Arteriosus

    Donohue syndrome, a rare autosomal recessive disorder, is associated with the mutation of the insulin receptor gene in the short arm of the 19th chromosome. It is very rare that a syndrome of insulin resistance resembles Donohue syndrome with patent ductus arteriosus. A 14-year-old girl, whose parents were[…][ncbi.nlm.nih.gov]

  • Patent Foramen Ovale

    A 49-year-old man developed weakness due to acute infarction of the left precentral gyrus. Subsequent investigation revealed a large patent foramen ovale (PFO), and it was concluded that the cerebral infarction was likely caused by a paradoxical embolus in association with the PFO. In hindsight, the PFO may explain[…][ncbi.nlm.nih.gov]

  • Pulmonary Arterial Hypertension

    Pulmonic regurgitation (Graham Steell murmur) may be apparent. A murmur of tricuspid regurgitation can be present, and a right ventricular lift (heave) may be noted.[emedicine.medscape.com]

  • Congenital Heart Disease

    A and V waves Diffuse, displaced left ventricular impulse; palpable RV impulse Increased first heart sound; persistent splitting of second heart sound Systolic ejection-type[doi.org] Clinical Signs and Symptoms Observed in Normal Pregnancy Hyperventilation causing shortness of breath and dyspnea Brisk, full carotid upstroke with distended jugular veins with prominent[doi.org]

  • Corrected Transposition of the Great Vessels

    ECG absence of Q waves in the lateral precordium (V4-6) physiologic Q waves in these leads often referred to as "septal" Q waves prominent Q waves in right precordium (V1-[radiopaedia.org]

  • Scimitar Syndrome

    Infantile scimitar syndrome (SS) carries significant mortality. Consistent management guidelines have not been well established, and outcomes continue to be disappointing. We present our experience managing an SS patient with complex anatomy who developed stenosis of the pulmonary veins contralateral to the[…][ncbi.nlm.nih.gov]

  • Left to Right Cardiac Shunt

    Abstract The pulmonary blood flow in 84 patients with left to right cardiac shunts was preoperatively and postoperatively examined by scintigram with macroaggregates of 99mTc-labeled human serum albumin. Lung biopsy was also performed in 28 patients. The regional pulmonary blood flow distribution curves obtained[…][ncbi.nlm.nih.gov]

  • Atrial Septal Defect

    In sinus venosus ASD, it shows left axis deviation and a negative P wave in lead III.[symptoma.com] Murmurs • Pulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[slideshare.net] Imaging The chest X-ray shows a dilated pulmonary artery, prominent pulmonary vascular markings, and enlarged right atrial and ventricular chambers in patients with significant[symptoma.com]

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