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38 Possible Causes for Inverted P Wave, Systolic Murmur

  • Cardiomyopathy

    There are some signs of left atrial enlargement — leftward deviation of the P wave axis (positive P waves in I and aVL, inverted in III and aVF) and prolongation of the terminal[lifeinthefastlane.com] A 40-year-old obese woman was found to have a II/VI systolic murmur that worsened with standing.[ncbi.nlm.nih.gov] […] dysfunction Clinical findings LV and RV failure, sudden death, Cardiomegaly Functional AV valve regurgitation S3 and/or S4 Exertional dyspnea, angina, syncope, sudden death Systolic[merckmanuals.com]

  • Patent Foramen Ovale

    Upon auscultation of the heart sounds, there may be an ejection systolic murmur that is attributed to the pulmonic valve.[marmur.com]

  • Ostium Primum Atrial Septal Defect

    Mild right ventricular hypertrophy Inverted P waves in Sinous Venosus type Right Bundle Branch Block is seen which is partial or complete 17.[slideshare.net] Persistent apical systolic murmur suggestive of mitral regurgitation was heard in five patients (42%) after the operation.[ohsu.pure.elsevier.com] In a II and III intercostal space to the left of the sternum, a moderate systolic murmur can be heard as a result of increased flow through the pulmonary valve.[remedyland.com]

  • Premature Atrial Contractions

    wave is abnormal Premature (earlier than expected) Morphology different than normal P wave Inverted P wave suggests atrial source near AV junction Nearly normal P waves suggest[fprmed.com] Heart examination found a grade I/IV systolic murmur best at the mid-left sternal border without radiation that changed with position and respiration.[pediatriceducation.org] PACS arising close to the AV node (“low atrial” ectopics) activate the atria retrogradely, producing an inverted P wave with a relatively short PR interval 120 ms (PR interval[lifeinthefastlane.com]

  • Atrial Septal Defect

    Mild right ventricular hypertrophy Inverted P waves in Sinous Venosus type Right Bundle Branch Block is seen which is partial or complete 17.[slideshare.net] There is further turbulent flow into the pulmonary artery causing the systolic murmur.[easyauscultation.com] Inverted inferior P waves, right-axis deviation. C, Ostium primum ASD. First-degree AV block, left-axis deviation, voltage evidence of right ventricular hypertrophy.[circ.ahajournals.org]

  • Anomalies of Coronary Artery Origin

    Case report A healthy, athletic, 25-year-old black man was referred to our institution for evaluation of a short systolic murmur.[mdmag.com]

  • Hypertrophic Cardiomyopathy

    New subtype of apical hypertrophic cardiomyopathy identified with nuclear magnetic resonance imaging as an underlying cause of markedly inverted T-waves.[doi.org] An early peaking, harsh diamond shaped systolic murmur starts at the beginning of systole and ends well before the second heart sound.[easyauscultation.com] Outflow tract obstruction may cause a systolic murmur at the left sternal edge, radiating to the aortic and mitral areas.[patient.info]

  • Dilated Cardiomyopathy

    There are some signs of left atrial enlargement — leftward deviation of the P wave axis (positive P waves in I and aVL, inverted in III and aVF) and prolongation of the terminal[lifeinthefastlane.com] […] portion of the P wave in V1.[lifeinthefastlane.com] […] an interventricular conduction delay mimicking LBBB — however, this is not LBBB as the morphology is not typical and there are small Q waves in V5-6 ( the presence of Q waves[lifeinthefastlane.com]

  • Interatrial Communication

    […] axis is leftward and inverted P waves appears in lead 2, 3, aVF.[mjdrdypu.org] Chest auscultation classically reveals an ejection systolic murmur heard at the left upper sternal border, attributed to increased flow across the pulmonary valve rather than[radiopaedia.org] Auscultation typically reveals a grade 2 to 3/6 midsystolic (ejection systolic) murmur (see table Heart Murmur Intensity ) and a widely split, fixed S2 at the upper left sternal[merckmanuals.com]

  • Lutembacher Syndrome

    […] axis is leftward and inverted P waves appears in lead 2, 3, aVF.[mjdrdypu.org] In addition, systolic murmurs at the left parasternal area can be heard on the grounds of increased pulmonary valve flow, holosystolic murmurs increasing during respiration[symptoma.com] Systolic murmurs: A pulmonary flow murmur due to increased flow across the pulmonic valve. Tricuspid regurgitation: lower left parasternal area.[patient.info]

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