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

  • Large Ventricular Septal Defect

    murmur in the one-sided murmur.[] , 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[] Its clinical characteristics also include a systolic murmur and a palpable thrill on both sides of the chest, dyspnea and poor exercise tolerance.[]

  • Pulmonary Valve Stenosis

    He was found to have an ejection systolic murmur and evidence of right ventricular outflow tract obstruction, with a peak velocity of 4.5 m/s recorded by transthoracic Doppler[] Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[] The infant was centrally cyanosed and had a systolic murmur from a moderately severe pulmonary valve stenosis and a small atrial septal defect.[]

  • Left to Right Cardiac Shunt

    Auscultation typically reveals a grade 2 to 3/6 midsystolic (ejection systolic) murmur (see table Heart Murmur Intensity ) and a widely split, fixed S2 at the upper left sternal[] Chest x-ray : Adults with isolated pulmonary stenosis show a prominent pulmonary artery segment.[] (harsh, long crescendo-decrescendo systolic ejection murmur along the left sternal border).[]

  • Malignant Carcinoid Syndrome

    Systolic murmur along the lower left sternal border suggestive of tricuspid regurgitation.[] On physical exam, a new-onset systolic ejection murmur is auscultated and is loudest at the left second intercostal space.[]

  • Eisenmenger Syndrome

    Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[] 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[] murmur and a pronounced second heart sound.[]

  • Atrial Septal Defect

    murmur but did not clearly show the presence of fixed splitting of S2.[] MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[] Clinically, the patient had typical features of PE with chest computed tomography (CT) revealing a Haller index of 4.4 and a grade 2 systolic murmur being heard the loudest[]

  • Tricuspid Valve Insufficiency

    Phonocardiogram (shows a systolic murmur). Echo (the main method shows the deformation and thinning of the flaps, the formation of new structures, etc.).[] Google Scholar 69 Burgess MI, Mogulkoc N, Bright-Thomas RJ, Bishop P, Egan JJ, Ray SG.[] In the absence of pulmonary hypertension, the murmur is usually low-intensity and early systolic.[]

  • Endocardial Cushion Defect

    A cleft in the left AV valve results in a blowing apical systolic murmur of mitral regurgitation.[] Pulmonary hypertension is associated with a loud pulmonic component of the second heart sound.[] If a significant regurgitation of the common atrioventricular valve is present, a systolic cardiac murmur and gallop rhythm are frequently heard.[]

  • Cor Pulmonale

    Compensatory stage of the respiratory and cardiac function Signs: cyanosis, signs of emphysema, moist rales and/or rhonchi, distal heart sound, systolic murmur of tricuspid[] 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.[] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[]

  • Congenital Pulmonary Valve Stenosis

    Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[] Electrocardiography showed P-pulmonale with right ventricular hypertrophy along with right ventricular strain pattern as well as tall R waves in V 4 R (Figure 3).[] Physical examination revealed grade 3/6 systolic murmur over the precordium, most prominent in left 2 nd intercostal space. The second heart sound was inaudible.[]

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