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34 Possible Causes for Hematocrit Increased, Pulmonary Systolic Murmur

  • Eisenmenger Syndrome

    With shunt reversal, patients become cyanotic and gradually there is a compensatory increase in hematocrit (erythrocytosis).[] Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[] On the inside these patients may have other changes like increased blood volume or a high hemoglobin and hematocrit.[]

  • Large Ventricular Septal Defect

    […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[] , 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[] […] small left to right shunt is small, if the defect is large, the resistance of blood flow between the two ventricles is small, so is the left-right shunt is large, increased pulmonary[]

  • Chronic Right-Sided Congestive Heart Failure

    murmurs could be heard in the pulmonary valve auscultation area; and no pericardial friction sound was apparent.[] […] significantly expanded to the left; the heart rate was 84 beats/min; arrhythmia was evident; the intensity of the first heart sound differed from that of the others; three-to-six systolic[]

  • Transposition of the Great Vessels

    In patients with a VSD there may be a systolic murmur, which increases in intensity as the pulmonary vascular resistance falls.[] An ejection systolic murmur is usually present in those with PS.[] The S2 is single and loud and there are no audible murmurs.[]

  • Pulmonary Atresia

    […] 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[] 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[] The conditions that increase PVR are hypoxia, hypercarbia, hypovolemia, hyperacidemia, hyperinflation of lungs (PEEP), hypothermia, sympathetic stimulation, atelectasis and[]

  • Tetralogy of Fallot

    Single S2 - pulmonary valve closure not heard. Systolic ejection murmur - varies in intensity inversely with the degree of RVOT obstruction.[] Cardiac auscultation evidenced a heart rate of 140 bpm, regular rhythm, cardiac sounds of normal intensity, and a systolic murmur audible in the entire left sternal margin[] A patient without cyanosis has a long, loud, systolic murmur with a thrill along the right ventricular outflow tract (RVOT).[]

  • Cyanotic Congenital Heart Disease

    However, at highly increased hematocrit levels patients may experience hyperviscosity symptoms.[] (aortic or pulmonary stenosis) or mid systolic clicks (mitral valve prolapse, Ebstein’s anomaly), atrial or ventricular gallop may also occur.[] Mean systemic arterial oxygen saturation was 77% (range 71-81%) and mean hematocrit was 64.5% (range 53.7-69.5%).[]

  • Taussig Bing Anomaly

    Other features include underdevelopment, cardiomegaly, systolic murmur in left third intercostal space, loud second pulmonic sound.[] […] pulmonary artery arises from both ventricles, in association with a large ventricular septal defect located above the septal limb of the crista supraventricularis and below the pulmonary[]

  • Congenital Heart Disease

    […] 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[] […] veins with prominent A and V waves Diffuse, displaced left ventricular impulse; palpable RV impulse Increased first heart sound; persistent splitting of second heart sound Systolic[]

  • Corrected Transposition of the Great Vessels

    He began to experience signs and symptoms of heart failure in 1992, with a systolic murmur audible over the left sternal border.[] […] 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[]

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