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113 Possible Causes for P Mitrale, Pulmonary Systolic Murmur

  • Patent Ductus Arteriosus

    Course and Complications  Ejection systolic murmur at birth (due to pulmonary hypertension)  continuous murmur after a few weeks  Development of Pulmonary arterial hypertension[slideshare.net] A heart murmur occurs in the pulmonary area; the murmur may be continuous, systolic with a short diastolic component, or only systolic, depending on the pulmonary artery pressure[msdmanuals.com]  diastolic component lost  ejection systolic murmur  Severe PAH  rt to lft shunt  disappearance of the murmur and appearance of differential cyanosis 15.[slideshare.net]

  • Large Ventricular Septal Defect

    Neither diagnosis of TBA or TGA/VSD nor any associated anatomical feature (including aortic arch obstruction, unusual coronary anatomy, great artery relationship, or mitral[ncbi.nlm.nih.gov] […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] , 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[quizlet.com]

  • Trilogy of Fallot

    Systolic thrill and murmur are maximal in third or fourth left parasternal area. 2. Systolic murmur is long, and is not preceded by any ejection click. 3.[medvin2u.net] Examination revealed central cyanosis, clubbing and a harsh grade IV/VI ejection systolic murmur at the pulmonary area.[scitechnol.com] Systolic thrill, murmur (due to PS-Pulmonary Stenosis) S 2 loud and Single Large ventricular septal defect Pulmonary Stenosis; usually infundibular Overriding aorta Right[medvin2u.net]

  • Congestive Heart Failure

    The characteristic apical systolic murmur may be absent in patients with severe MR, due to the abrupt and severe elevation of left atrial pressure.[doi.org] Lancellotti P, Gerard PL, Pierard LA. Long-term outcome of patients with heart failure and dynamic functional mitral regurgitation.[emedicine.com] Grote Beverborg N, van Veldhuisen DJ, van der Meer P. Anemia in heart failure: still relevant?. JACC Heart Fail . 2017 Nov 8. [Medline] .[emedicine.com]

  • Aortic Valve Stenosis

    P., Rouf, R., Habashi, J. & Dietz, H. C. Mitral valve disease in Marfan syndrome and related disorders. J. Cardiovasc. Transl. Res. 4, 741–747 (2011). 134. Chang, S.[doi.org] Cardiovascular examination revealed ejective systolic murmur at aortic focus /6 , irradiating to the suprasternal notch.[web.archive.org] […] slightly in intensity during inspiration.An easily heard systolic, crescendo-decrescendo (i.e., 'ejection') murmur is heard loudest at the upper right sternal border, at the[en.wikipedia.org]

  • Mitral Valve Disease

    […] results of preoperative and postoperative echocardiographic data showed significant decrease in pulmonary arterial systolic pressure (101.2   20.3 versus 48.1   14.3 mmHg, P[ncbi.nlm.nih.gov] Physical examination most often reveals the presence of a mid-systolic click and a mid to late systolic murmur, which reflects the timing of prolapse in the setting of excess[mitralvalverepair.org] P 0.5), body surface area (2.0 0.2 versus 2.0 0.2 m(2); P 0.5), left ventricular and atrial dimensions (all P 0.55), and mitral regurgitation regurgitant orifice (P 0.62)[ncbi.nlm.nih.gov]

  • Mitral Valve Insufficiency

    .  Electrocardiography: P mitrale is broad, notched P waves in several or many leads with a prominent late negative component to the P wave in lead V1, and may be seen in[slideshare.net] The cardinal physical finding is a mitral systolic murmur.[ncbi.nlm.nih.gov] Mitral valve prolapse is accompanied by an ejection systolic click.[symptoma.com]

  • Giant Left Atrium

    After mitral valve replacement, left atrium mean diameter was significantly decreased in Group A from 8.1 /- 1.3 mm to 6.2 /- 1.6 mm ( p 0.01).[ncbi.nlm.nih.gov] This forty four year old man presented with fast atrial fibrillation, pulmonary oedema and a systolic murmur.[bsecho.org] The cardiothoracic ratio decreased from 74.8 /- 8.3% to 62.8 /- 9.0% (P 0.01) and the vital capacity of the lungs increased from 71.1 /- 18.0% to 82.9 /- 22.2% (P 0.01).[ncbi.nlm.nih.gov]

  • Papillary Muscle Dysfunction

    Heart Hyperactive precordium is present Loud mid-to-late systolic or holosystolic murmur is present Lungs Pulmonary edema may also be present Laboratory Findings Electrocardiogram[wikidoc.org] In the subgroup of 10 patients with old inferior myocardial infarction, mitral regurgitation was present only among those 6 with single rather than double blood supply (P[ncbi.nlm.nih.gov] Signs: Apical systolic murmur is the most important signs of this disease, accompanied by angina papillary muscle dysfunction, apical systolic noise loudness with the onset[healthfrom.com]

  • Pulmonary Valve Stenosis

    0.003) and mitral annular-plane systolic excursion (5.94   1.38 vs 5.0   1.22 mm, P  0.035).[ncbi.nlm.nih.gov] Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[ncbi.nlm.nih.gov] Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down.[patient.info]

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