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373 Possible Causes for Left Atrial Hypertrophy, Systolic Thrill at Lower Left Sternal Border

  • Patent Ductus Arteriosus

    There may be evidence of left ventricular dilatation. ECG: may show evidence of left atrial and left ventricular abnormality (hypertrophy and dilatation).[healthengine.com.au] The ECG showed normal sinus rhythm with signs of left atrial dilatation, left ventricle hypertrophy or dilatation.[ncbi.nlm.nih.gov] Electrocardiogram The ECG may reveal sinus tachycardia, atrial fibrillation, left ventricular hypertrophy, as well as a left atrial enlargement in individuals with medium[lecturio.com]

  • Aortic Valve Stenosis

    (B) The horizontal four-chamber view shows the resultant severe left ventricular hypertrophy and left atrial enlargement.[aafp.org] This enlarges the left atrium and results in hypertrophy of the atrial wall because the left atrium has to generate increased pressure when it contracts in order to complete[cvphysiology.com] The ECG in patients with aortic stenosis frequently shows left ventricular hypertrophy with strain and left atrial enlargement; however, these findings are non-specific for[healio.com]

  • Ventricular Septal Defect

    3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[msdmanuals.com] With a moderate VSD, left ventricular hypertrophy (LVH) and occasionally left atrial hypertrophy (LAH) may be seen.[patient.info] Muscular defects can be heard along the lower left sternal border and may vary in intensity as the defect size changes with muscular contraction throughout systole.[circ.ahajournals.org]

  • Large Ventricular Septal Defect

    3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[merckmanuals.com] With a moderate VSD, left ventricular hypertrophy (LVH) and occasionally left atrial hypertrophy (LAH) may be seen.[patient.info] Small VSDs typically produce murmurs ranging from a grade 1 to 2/6 high-pitched, short systolic murmur (due to tiny defects that actually close during late systole) to a grade[merckmanuals.com]

  • Hypertensive Heart Disease

    On univariate analysis, MACE was associated with older age, atrial fibrillation, concentric LV hypertrophy, larger left atrial volume, and more abnormal GLS.[acc.org] Although phenotypical characteristics of the hypertrophied left ventricle are clear, left atrial (LA) and pulmonary venous (PV) remodeling has rarely been investigated.[ncbi.nlm.nih.gov] Left ventricular hypertrophy (LVH) was present in about one fifth of our population (14% and 26%, considering indexation for BSA and for height(2.7)).[ncbi.nlm.nih.gov]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Mitral Valve Disease

    Features associated with chronic MR are left ventricular and left atrial hypertrophy, and ST segment changes in lateral leads.[symptoma.com] For instance, the electrocardiogram (ECG) in long-standing MR may show evidence of left atrial enlargement and left ventricular hypertrophy.[en.wikipedia.org] ECG: may reveal atrial fibrillation, left atrial enlargement and right ventricular hypertrophy. See separate ECG A Methodical Approach article.[patient.info]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Aortic Valve Disorder

    There are going to be many changes in the ICD-10 and to be sure your practice is ready to report aortic valve disorders, check out how the new code set divides this diagnosis. ICD-9-CM Code 424.1, Aortic valve disorders ICD-10-CM Codes I35.0, Nonrheumatic aortic (valve) stenosis I35.1, Nonrheumatic aortic (valve)[…][blog.supercoder.com]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Mitral Valve Insufficiency

    Acute Chronic Electrocardiogram Normal P mitrale, Atrial fibrillation, left ventricular hypertrophy Heart size Normal Cardiomegaly, left atrial enlargement Systolic murmur[slideshare.net] For instance, the electrocardiogram (ECG) in long-standing MR may show evidence of left atrial enlargement and left ventricular hypertrophy.[en.wikipedia.org] Electrocardiography shows rhythm and conduction abnormalities, left atrial enlargement and right ventricular hypertrophy if pulmonary hypertension is present.[symptoma.com]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Aortic Valve Insufficiency

    […] ventricular hypertrophy Left atrial enlargement Chest X-ray Cardiomegaly (cor bovinum) Dilated aortic root Cardiac Catheterization Supravalvular angiography allows assessment[echocardiology.org] […] aortic insufficiency and described as a low-pitched mid-diastolic rumble at the apex Bisferien's pulse (widely notched arterial pulse, sometimes palpable) Electrocardiogram Left[echocardiology.org]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Restrictive Cardiomyopathy

    In restrictive cardiomyopathy the P waves may be wide, but have a particular tendency to be increased in amplitude, reflecting left atrial overload or hypertrophy, as in hypertension[heart.bmj.com] Echocardiography shows bilateral atrial enlargement with normal ventricular size but significant diffuse left ventricular hypertrophy, especially with amyloidosis.[emedicine.medscape.com]

    Missing: Systolic Thrill at Lower Left Sternal Border

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