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24 Possible Causes for P Pulmonale, Pulmonary Systolic Murmur, Right Heart Endocarditis

  • Large Ventricular Septal Defect

    […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] […] failure Infective endocarditis (bacterial infection of the heart) Pulmonary hypertension (high blood pressure in the lungs) leading to failure of the right side of the heart[medlineplus.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]

  • Pulmonary Valve Stenosis

    Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[ncbi.nlm.nih.gov] Right ventricular hypertrophy Heart failure Irregular heartbeats Pulmonary valve stenosis is diagnosed in the childhood, but if the disease is mild, it remains unnoticed.[gleneaglesglobalhospitals.com] 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] Rupture of SVA (with progressive heart failure and left-to-right shunting or endocarditis) is the main cause of death and rarely occurs before age 20 years in congenital SVA[emedicine.medscape.com] There is further turbulent flow into the pulmonary artery causing the systolic murmur.[easyauscultation.com]

  • 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] Precordial signs of ES are loud (often palpable) second heart sound and right ventricular heave.[orpha.net]

  • Tetralogy of Fallot

    Supporting criteria Right atrial enlargement (P pulmonale).[litfl.com] Single S2 - pulmonary valve closure not heard. Systolic ejection murmur - varies in intensity inversely with the degree of RVOT obstruction.[patient.info] , an infection of the inner layer of the heart high pressure in the right side of the heart that can cause an irregular heartbeat (an arrhythmia ) Children whose TOF isn't[kidshealth.org]

  • Tricuspid Stenosis

    In the absence of pulmonary hypertension, the murmur is usually low-intensity and early systolic.[patient.info] […] of TS- - Regional Tamponade - Systemic Lupus - Intracardiac wires - Prosthetic heart valve - Endocarditis Patient symptoms and Physical Examination: - signs and symptoms[quizlet.com] Am Heart J 117:1165–1167 Google Scholar 4. Arbulu A, Kafi A, Thomas NW, Wilson RF (1973) Right-sided bacterial endocarditis.[link.springer.com]

  • Congenital Heart Disease

    […] ejection-type murmurs at the left lower sternal border over the pulmonary area Anemia Weight gain The current medication regimen should also be reviewed for appropriate indications[doi.org] Aortic Valve Chest Pain Coarctation of the Aorta Coronary Artery Fistula Dextrocardia Dilated Cardiomyopathy Double Aortic Arch Double Inlet Left Ventricle Double Outlet Right[hopkinsmedicine.org] TABLE 3 Procedures for Which Endocarditis Prophylaxis Is Not Required: American Heart Association Recommendations The rightsholder did not grant rights to reproduce this item[aafp.org]

  • Left to Right Cardiac Shunt

    Patients with smaller ASDs with no evidence of right sided volume overload by echocardiogram are usually not at risk for developing PAH, endocarditis, or heart failure and[phaonlineuniv.org]

  • 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] ., long travel) malignancy thrombophilia pregnancy hormonal contraceptives Etiology DVT (most common) septic embolism from right-heart endocarditis fat embolism amniotic fluid[medbullets.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] Common causes of left heart failure include severe mitral (heart) valve degeneration, dilated cardiomyopathy (failure of heart muscle), bacterial endocarditis (infection of[vshcarolinas.com]