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30 Possible Causes for Hypoxia, Poor R Wave Progression, Pulmonary Systolic Murmur

  • Eisenmenger Syndrome

    This helped achieve a reduction of shunt, improvement of hypoxia and reduction of pulmonary pressures.[ncbi.nlm.nih.gov] Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[remedyland.com] Chronic hypoxia caused by Eisenmenger syndrome may result in polycythemia with resultant hyperviscosity and bilateral central retinal vein occlusion.[ncbi.nlm.nih.gov]

  • 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] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info] The first cause of increased PVR is chronic long-standing alveolar hypoxia which induces pulmonary vascular remodeling.[ncbi.nlm.nih.gov]

  • Pulmonary Embolism

    Hypoxia is an independent predictor of both right ventricular dysfunction and 30-day mortality in these patients.[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] CONCLUSIONS Tracheobronchomalacia should be considered in the differential diagnosis of hypoxia when evaluating a patient in the ICU.[ncbi.nlm.nih.gov]

  • Acute Cor Pulmonale

    Hypercapnia, pneumonia, hypoxia, high plateau pressure, and positive end-expiratory pressure were associated with increased ACP incidence in patients with ARDS.[ejcdt.eg.net] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info] Furthermore, she rapidly developed progressive dyspnea and hypoxia.[kjim.org]

  • 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] The Pathophysiology of Myocardial Infarction Myocardial infarction ("heart attack") is the irreversible damage of myocardial tissue caused by prolonged ischemia and hypoxia[cvpharmacology.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]

  • 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] 10 minutes of hypoxia and a sustained activation that starts after two hours of hypoxia. 113 In this model, ERK2 and JNK are not activated.[dx.doi.org] 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]

  • 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] Hypoxia inducible factor-1 alpha (HIF-1α) is a transcription factor mediating early and late responses to myocardial ischemia.[scholarworks.uaeu.ac.ae] 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]

  • Lateral Wall Myocardial Infarction

    EKG Examples Shown below is an EKG demonstrating sinus rhythm and a QRS with a rightward axis, as well as wide Q waves in leads I and aVL as well as a poor R wave progression[wikidoc.org] The patient is usually hypotensive, in acute pulmonary oedema with a new systolic murmur present.[bsecho.org] 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]

  • Congenital Pericardium Anomaly

    Her electrocardiogram showed poor R wave progression. Postero-anterior chest -X ray showed cardiac levoposition with borderline cardiac size (Figure1).[ispub.com] Fetal anemia, hypoxia, infections, and maternal thyrotoxicosis may induce this condition.[intechopen.com] In other cases the ECG may show typical findings such as right axis deviation, incomplete or complete right bundle branch block and poor Rwave progression due to clockwise[revportcardiol.org]

  • Right Ventricular Hypertrophy

    Figure 3 shows atrial fibrillation, poor R wave progression, and diffuse ST-segment abnormalities in an ECG from a patient with ischemic cardiomyopathy.[clevelandclinicmeded.com] Moreover, we created cardiomyocyte-specific HEXIM1 transgenic mice and revealed that HEXIM1 ameliorates RVH and prevents RV dilatation in hypoxia-induced PAH model.[ncbi.nlm.nih.gov] On auscultation, an accentuated second pulmonary sound (S2), a third heart sound termed a ‘right ventricular gallop’, as well as a systolic murmur over the tricuspid area[en.wikipedia.org]

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