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27 Possible Causes for Hematocrit Increased, Prominent A-Wave, Pulmonary Systolic Murmur

  • Eisenmenger Syndrome

    ECG of Eisenmenger syndrome Usually there is right ventricular hypertrophy with prominent P waves.[remedyland.com] With shunt reversal, patients become cyanotic and gradually there is a compensatory increase in hematocrit (erythrocytosis).[radiopaedia.org] Elevated jugular venous pressure and prominent "v" wave in right heart failure and severe tricuspid regurgitation.[ncbi.nlm.nih.gov]

  • Large Ventricular Septal Defect

    Pulmonary resistance is a function of numerous factors, including age, altitude, hematocrit, and diameter of the pulmonary arterioles.[emedicine.medscape.com] […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] , 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[quizlet.com]

  • Chronic Right-Sided Congestive Heart Failure

    Distended neck veins with raised and/or prominent JVP and visible a or v waves. 3rd/4th heart sounds and pansystolic murmur of tricuspid regurgitation over right heart.[patient.info] 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] murmurs could be heard in the pulmonary valve auscultation area; and no pericardial friction sound was apparent.[omicsonline.org]

  • 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] […] ejection-type murmurs at the left lower sternal border over the pulmonary area Anemia Weight gain The current medication regimen should also be reviewed for appropriate indications[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] He began to experience signs and symptoms of heart failure in 1992, with a systolic murmur audible over the left sternal border.[elsevier.pt] […] department in 1978 at age 22 with a diagnosis of congenital cyanotic heart disease, and had undergone ventricular (VSD) and atrial septal defect (ASD) closure and repair of pulmonary[elsevier.pt]

  • Left to Right Cardiac Shunt

    Abstract We studied the acute effects of increasing hemoglobin concentration and hematocrit on the pulmonary and systemic circulations of nine infants with large left-to-right[nejm.org] 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] […] stimulation (inadequate anesthesia, inadequate analgesia) – Increased hematocrit (poor rheology) – Surgical manipulation of RVOT b.[cancertherapyadvisor.com]

  • Tetralogy of Fallot

    Additionally, right atrial enlargement is manifested by prominent P waves in V1 (*). Right ventricular hypertrophy is demonstrated by a rightward deviated axis.[pedclerk.bsd.uchicago.edu] Single S2 - pulmonary valve closure not heard. Systolic ejection murmur - varies in intensity inversely with the degree of RVOT obstruction.[patient.info] The electrocardiogram will demonstrate right axis deviation and prominent right ventricular forces, with large R waves in the anterior precordial leads and large S waves in[ncbi.nlm.nih.gov]

  • Pulmonary Atresia

    With progressive right ventricular failure, hepatomegaly and prominent “a” wave of jugular venous pulse may be observed.[ispub.com] Auscultatory finding: harsh systolic murmur that is best heard over Erb's point and left upper sternal border ; single second heart sound Diagnostics Pulse oximetry : SpO2[amboss.com] […] high hematocrit, so should be avoided. 4 Studies of ketamine and nitrous oxide in patient with normal or elevated PVR have shown no increase in resistance provided ventilation[ispub.com]

  • Cyanotic Congenital Heart Disease

    Mod-severe: mmHg, 60mmHg Prominent jugular a-wave RV lift, RV heave Split 2nd hrt sound Ejection click, followed by systolic murmur.[slideplayer.com] However, at highly increased hematocrit levels patients may experience hyperviscosity symptoms.[ncbi.nlm.nih.gov] (aortic or pulmonary stenosis) or mid systolic clicks (mitral valve prolapse, Ebstein’s anomaly), atrial or ventricular gallop may also occur.[symptoma.com]

  • Right to Left Shunt

    . • Prominent “a” wave greater than 10 mm Hg was present in 10.9 % • RVEDP increased in 23.8 % and LVEDP raised in 25.9 per cent • Right aortic arch in 19.9 %, absent left[slideshare.net] […] stimulation (inadequate anesthesia, inadequate analgesia) – Increased hematocrit (poor rheology) – Surgical manipulation of RVOT b.[cancertherapyadvisor.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]

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