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17 Possible Causes for Increased Jugular Venous Pressure, Poor R Wave Progression, Pulmonary Systolic Murmur

  • Right Ventricular Outflow Obstruction

    Examination revealed an ejection systolic murmur in the pulmonary area. The electrocardiogram showed complete heart block.[onlinejacc.org] On examination there was a systolic thrill and a loud ejection murmur in the pulmonary area.[heart.bmj.com] Statistics from Altmetric.com A 27 year old banker was referred by his general practitioner with constitutional symptoms and a murmur.[heart.bmj.com]

  • Cor Pulmonale

    […] and other neck and facial veins Increased jugular venous pressure Hepatomegaly Cyanosis Abnormal heart sounds Physical indicators of cor pulmonale on exam: Pulmonary hypertension[symptoma.com] 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]

  • Pulmonary Embolism

    In this case, the elevated jugular venous pressure suggests a right ventricle that has reached its preload reserve, and further increases in the impedance to RV ejection may[circ.ahajournals.org] 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] […] ventricular wall stress as a result of dilatation of the thin RV free wall and increased myocardial oxygen demand.[circ.ahajournals.org]

  • Acute Cor Pulmonale

    Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info] […] and pulmonic insufficiency murmurs, and later, distended jugular veins, hepatomegaly, and lower-extremity edema.[merckmanuals.com] Cor pulmonale is RV enlargement and eventually failure secondary to a lung disorder that causes pulmonary artery hypertension.[msdmanuals.com]

  • Anterior Myocardial Infarction

    jugular venous pressure, and pedal edema assessing heart sounds for new murmurs, indicating valve involvement; muffled heart sounds, indicating cardiac tamponade; and pericardial[americannursetoday.com] 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] 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]

  • 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] 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] Third and fourth heart sound, systolic murmur if mitral regurgitation or ventricular septal defect develops, pericardial rub.[patient.info]

  • 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] 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] Third and fourth heart sound, systolic murmur if mitral regurgitation or ventricular septal defect develops, pericardial rub.[patient.info]

  • Restrictive Cardiomyopathy

    Physical examination is notable for elevated jugular venous pressure, often with Kussmaul's sign (paradoxical increase in jugular venous pressure with inspiration).[clinicaladvisor.com] 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] Presentation Usually presents with heart failure but normal systolic function: dyspnoea, fatigue, loud third heart sound, pulmonary oedema, murmurs due to valve incompetence[patient.info]

  • Lateral Wall Myocardial Infarction

    jugular venous pressure, and pedal edema assessing heart sounds for new murmurs, indicating valve involvement; muffled heart sounds, indicating cardiac tamponade; and pericardial[americannursetoday.com] 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]

  • Posterior Myocardial Infarction

    Signs and symptoms of right-sided heart failure such as elevated jugular venous pressure, Kussmaul’s sign (inspiratory increase in jugular venous pressure), S4 and S3 gallops[cathlabdigest.com] ) LVH (may have QS pattern or poor R wave progression in leads V1-3) RVH (tall R waves in V1 or V2 may mimic true posterior MI) Complete or incomplete LBBB (QS waves or poor[ecg.utah.edu] 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]