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46 Possible Causes for P Pulmonale, 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] Ejection systolic murmur audible along the left sternal border.[patient.info]

  • Large Ventricular Septal Defect

    […] 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] […] small left to right shunt is small, if the defect is large, the resistance of blood flow between the two ventricles is small, so is the left-right shunt is large, increased pulmonary[remedyland.com]

  • Pulmonary Valve Stenosis

    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] 1997), pulmonary valvuloplasty was considered in 22 adult patients [8 men, 14 women; mean age 28.0 years /- standard deviation (SD) 10.3; range 16-46 years] with congenital pulmonary[ncbi.nlm.nih.gov]

  • Malignant Carcinoid Syndrome

    A case of carcinoid syndrome is presented. Pulmonary adenosquamous carcinoma with hepatic metastasis was found in a 60-year-old Japanese male who was complaining of fever, cough and haemosputum. After the treatment with 5-fluorouracil (5-FU) over 2 years, he was diagnosed as carcinoid syndrome on the[…][ncbi.nlm.nih.gov]

  • Left to Right Cardiac Shunt

    Abstract The pulmonary blood flow in 84 patients with left to right cardiac shunts was preoperatively and postoperatively examined by scintigram with macroaggregates of 99mTc-labeled human serum albumin. Lung biopsy was also performed in 28 patients. The regional pulmonary blood flow distribution curves obtained[…][ncbi.nlm.nih.gov]

  • 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] Tall tented p-pulmonale may also be seen. 3) Echocardiography may show dilatation and also allows indirect measurement of pulmonary artery pressures.[healthengine.com.au]

  • 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] pulmonale, right-axis deviation, ST-segment elevation, ST-segment depression, QT prolongation, and incomplete or complete right bundle-branch block. 30, 93 – 110 Of these,[doi.org]

  • 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] There is further turbulent flow into the pulmonary artery causing the systolic murmur.[easyauscultation.com] Typically, pulmonary valve stenosis has an associated systolic ejection click, the murmur of pulmonary valve stenosis tends to be more harsh than the systolic murmur associated[clinicaladvisor.com]

  • Chronic Right-Sided Congestive Heart Failure

    pulmonale.[escardio.org] murmurs could be heard in the pulmonary valve auscultation area; and no pericardial friction sound was apparent.[omicsonline.org] Electrocardiography in patients with pulmonary hypertension shows signs of RV hypertrophy in the form of right axis deviation, dominant R in V1 and dominant S in V5 or 6 P[escardio.org]

  • 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] […] 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.[merckmanuals.com]

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