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60 Possible Causes for P Pulmonale, Pulmonary Hypertension, Pulmonary Systolic Murmur

  • Eisenmenger Syndrome

    ECG: almost always abnormal; shows features suggestive of right heart hypertrophy (with tall R wave in V1, deep S wave in V6, ST and T wave abnormalities, P pulmonale) as[patient.info] Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[remedyland.com] In this study two patients are presented, one with common atrioventricular canal and pulmonary hypertension and the other with recurrent pulmonary thromboembolism; both improved[ncbi.nlm.nih.gov]

  • Large Ventricular Septal Defect

    […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] A 16-month-old girl developed severe pulmonary hypertension after closure of a large ventricular septal defect.[ncbi.nlm.nih.gov] , 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]

  • Left to Right Cardiac Shunt

    Auscultatory findings Harsh h olosystolic murmur over the left lower sternal border ; typically louder in small defects Mid- diastolic murmur over cardiac apex Systolic thrill[amboss.com] Pulmonary hypertension associated with large L-R shunt lesions (e.g. VSD, PDA) is called Hyperkinetic Pulmonary Hypertension (PH).[banglajol.info] (harsh, long crescendo-decrescendo systolic ejection murmur along the left sternal border).[cancertherapyadvisor.com]

  • Pulmonary Valve Stenosis

    Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[ncbi.nlm.nih.gov] One patient died of refractory pulmonary hypertension during operation. Two patients died 4 months postoperatively because of brain metastases.[ncbi.nlm.nih.gov] Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down.[patient.info]

  • Atrial Septal Defect

    MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[slideshare.net] The decision making in patients with an atrial septal defect (ASD) in setting of pulmonary hypertension is complex.[ncbi.nlm.nih.gov] […] diagnosed as a case of primary pulmonary hypertension in a tertiary care center.[ncbi.nlm.nih.gov]

  • Pulmonary Embolism

    Electrocardiographic findings ACS ( n 198) APE ( n 81) TC ( n 21) p value P pulmonale (%) 8 (4) 10 (12) 0 0.014 Right axis deviation (%) 0 6 (7) 0 Left axis deviation (%)[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] hypertension, such as WHO Group II (pulmonary hypertension associated with left-sided heart disease) and WHO Group III (pulmonary hypertension associated with a parenchymal[doi.org]

  • Cor Pulmonale

    In ECG, P pulmonale was observed in 58 (99.66%) of cases. 48 (80%) were having right ventricular dilatation and right atrial dilation was observed in 30 (50%) of patients.[scopemed.org] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info] Abstract Primary pulmonary hypertension and cor pulmonale represent forms of precapillary pulmonary hypertension due to intrinsic lung disease.[ncbi.nlm.nih.gov]

  • Pulmonary Hypertension

    […] failure – increased JVP, (large V waves), parasternal heave, TR murmur, hepatomegaly, peripherial oedema other signs of CHF hypoxaemia INVESTIGATIONS Bedside ECG – RVH, RAD, p-pulmonale[lifeinthefastlane.com] Clinical signs include right ventricular (parasternal) heave, a loud pulmonary second heart sound, murmur of pulmonary regurgitation, systolic murmur of tricuspid regurgitation[patient.info] Pulmonary hypertension (PH) is a rise of blood pressure and resistance in the pulmonary vasculature.[symptoma.com]

  • Acute Cor Pulmonale

    Peaked P waves in the inferior leads 2.5 mm (P pulmonale) with a rightward P-wave axis (inverted in aVL) Clockwise rotation of the heart with a delayed R/S transition point[lifeinthefastlane.com] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info] Springer Science & Business Media, ٠٥‏/٠٥‏/٢٠٠٨ - 444 من الصفحات This timely volume addresses the areas of pathophysiology and therapy of pulmonary hypertension, which have[books.google.com]

  • Tricuspid Valve Insufficiency

    Google Scholar 69 Burgess MI, Mogulkoc N, Bright-Thomas RJ, Bishop P, Egan JJ, Ray SG.[doi.org] In the absence of pulmonary hypertension, the murmur is usually low-intensity and early systolic.[patient.info] METHODS: A cross-sectional study was performed of consecutive transthoracic echocardiographic studies of patients with pre-capillary pulmonary hypertension (PH).[ncbi.nlm.nih.gov]

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