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45 Possible Causes for P Pulmonale, Pulmonary Systolic Murmur, Right Axis Deviation

  • 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]

  • Eisenmenger Syndrome

    Diagnostic methods Diagnosis is based on the clinical features, pulse oximetry findings, an abnormal electrocardiogram (right axis deviation, right ventricular hypertrophy[orpha.net] 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]

  • Cor Pulmonale

    Right axis deviation and low voltage may be noted in patients with pulmonary emphysema.[health.am] 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]

  • Acute Cor Pulmonale

    Other ECG findings in PE include right bundle-branch block, right axis deviation, atrial fibrillation, and T-wave changes ( 2, 3 ).[ispub.com] 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]

  • Pulmonary Embolism

    P pulmonale, right and left axis deviation, S 1 S 2 S 3 and S 1 Q 3 T 3 patterns, low voltage and clockwise rotation were specific, but not sensitive for APE.[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] axis deviation, right bundle branch block (RBBB), or deep S-waves in I with Q waves in III and inverted T waves in III ('S1,Q3,T3' pattern).[patient.info]

  • Pulmonary Hypertension

    Surface electrocardiogram showed right atrial and ventricular overload with right axis deviation.[ncbi.nlm.nih.gov] […] 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]

  • Biventricular Hypertrophy

    In the presence of LVH – Additional signs indicating RVH : Right atrial enlargement. Right axis deviation. Tall biphasic QRS complexes in multiple leads.[lifeinthefastlane.com] Deep S-wave in V5 or V6 ( 6 mm) Large RS complexes in multiple leads P pulmonale Figure 1.[ecgwaves.com] VSD murmurs vary in intensity based on their size. Small to moderate resistive systolic murmurs may be louder than large non-resistive systolic murmurs.[lsu.edu]

  • 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] ECG of pulmonary valve stenosis Electrical axis deviation to right or right ventricular hypertrophy, prominent P wave.[remedyland.com]

  • Left to Right Cardiac Shunt

    If a significant shunt is present, ECG may show right axis deviation, right ventricular hypertrophy, or right ventricular conduction delay (an rSR ′ pattern in V1with a tall[merckmanuals.com] 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] deviation of the QRS complex while those with a secundum ASD have a right axis deviation of the QRS complex.[marmur.com]

  • Endocardial Cushion Defect

    Clinical features- See hemodynamics Radiography- See hemodynamics ECG- Left axis deviation Counterclockwise depolarization- as initial left to right septal depolarization[heartpearls.com] A systolic murmur of a ventricular septal defect can be heard as well as the systolic murmur of mitral insufficiency.[chdbabies.com] ECG shows a superiorly directed QRS axis (eg, left axis deviation or northwest axis), frequent 1st-degree AV block, left or right ventricular hypertrophy or both, and occasional[merckmanuals.com]