Create issue ticket

43 Possible Causes for P Pulmonale, Pulmonary Systolic Murmur, Right Atrial Hypertrophy

  • Eisenmenger Syndrome

    […] shunt (e.g., atrial septal defect, ventricular septal defect, patent ductus arteriosus) Electrocardiogram Right atrial enlargement Right ventricular hypertrophy Chest X-ray[echocardiology.org] 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]

  • Large Ventricular Septal Defect

    In those with pulmonary hypertension, right axis deviation, right ventricular hypertrophy (RVH) and right atrial hypertrophy (RAH) may be seen.[patient.info] […] 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]

  • Pulmonary Valve Stenosis

    ECG: may show right ventricular hypertrophy, right atrial hypertrophy and right axis deviation.[patient.info] Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[ncbi.nlm.nih.gov] Pathophysiology [ edit ] When pulmonic stenosis (PS) is present, resistance to blood flow causes right ventricular hypertrophy.[en.wikipedia.org]

  • 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] […] elevated pulmonary vascular resistance, and right ventricular hypertrophy; supraventricular tachycardia, atrial flutter, or atrial fibrillation may also occur.[merckmanuals.com] (harsh, long crescendo-decrescendo systolic ejection murmur along the left sternal border).[cancertherapyadvisor.com]

  • 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] With development of cor pulmonale, the following additional changes are seen: Right atrial enlargement (P pulmonale) Right ventricular hypertrophy 3.[lifeinthefastlane.com]

  • 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] […] elevated pulmonary vascular resistance, and right ventricular hypertrophy; supraventricular tachycardia, atrial flutter, or atrial fibrillation may also occur.[merckmanuals.com] There is further turbulent flow into the pulmonary artery causing the systolic murmur.[easyauscultation.com]

  • Acute Cor Pulmonale

    With development of cor pulmonale, the following additional changes are seen: Right atrial enlargement (P pulmonale) Right ventricular hypertrophy 3.[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] […] and pulmonic insufficiency murmurs, and later, distended jugular veins, hepatomegaly, and lower-extremity edema.[merckmanuals.com]

  • Chronic Right-Sided Congestive Heart Failure

    […] gallop’ (occurs before S1 and is due to blood entering the ventricle during atrial systole hitting the stiff hypertrophied ventricular wall 1,2 pulsus alternans 1,2 right-predominant[radiopaedia.org] pulmonale.[escardio.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]

  • 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] […] ventricular hypertrophy, and failure.[ncbi.nlm.nih.gov]

  • Right Atrial Hypertrophy

    Right atrial hypertrophy or enlargement is a result an increased amount of blood in the Right Atrium.[cardiachealth.org] The P-wave amplitude is 2.5 mm in P pulmonale.[ecgwaves.com] In the absence of pulmonary hypertension, the murmur is usually low-intensity and early systolic.[patient.info]