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140 Possible Causes for P Pulmonale, Systolic Thrill at Lower Left Sternal Border

  • Tetralogy of Fallot

    Systolic thrill at the lower left sternal border. Aortic ejection click.[patient.info] Supporting criteria Right atrial enlargement (P pulmonale).[litfl.com] A patient without cyanosis has a long, loud, systolic murmur with a thrill along the right ventricular outflow tract (RVOT).[patient.info]

  • Biventricular Hypertrophy

    3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[msdmanuals.com] Deep S-wave in V5 or V6 ( 6 mm) Large RS complexes in multiple leads P pulmonale Figure 1.[ecgwaves.com] (pseudo-P pulmonale).[ahajournals.org]

  • Tricuspid Valve Insufficiency

    In severe TR, a right jugular venous thrill may be palpable, as may systolic hepatic pulsation and an RV impulse at the left lower sternal border.[merckmanuals.com] Google Scholar 69 Burgess MI, Mogulkoc N, Bright-Thomas RJ, Bishop P, Egan JJ, Ray SG.[doi.org] Right-heat failure and cor pulmonale. In: Crawford MH, DiMarco JP, Paulus WJ, eds. Cardiology. 2nd ed. St Louis, Mo: Mosby; 2004 : 1017.[doi.org]

  • Large Ventricular Septal Defect

    3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[merckmanuals.com] Small VSDs typically produce murmurs ranging from a grade 1 to 2/6 high-pitched, short systolic murmur (due to tiny defects that actually close during late systole) to a grade[merckmanuals.com]

  • Chronic Obstructive Pulmonary Disease

    […] in the limb leads or 10 mm in the precordial leads right ventricular hypertrophy right axis deviation dominant R wave in V1 with an amplitude 7mm often associated with "P[radiopaedia.org] pulmonale, an electrocardiographic finding.[ncbi.nlm.nih.gov] Edema in cor pulmonale. Lancet 1975 ; ii: 1289 – 1290. Google Scholar 27 Richens JM Howard P. Oedema in cor pulmonale. Clin Sci 1982 ; 62: 255 – 259.[dx.doi.org]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • 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] 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]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • 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] 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] 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]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Sleep Apnea Syndrome

    Study Objectives: Some patients with apparent obstructive sleep apnea hypopnea syndrome (OSAHS) have elimination of obstructive events but emergence of problematic central apneas or Cheyne-Stokes breathing pattern. Patients with this sleep-disordered breathing problem, which for the sake of study we call the[…][web.archive.org]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Obstructive Sleep Apnea

    Obstructive sleep apnea (OSA) is a highly prevalent chronic sleep disorder associated with considerable systemic and ophthalmic consequences. The authors present the retinal vascular findings of a visually asymptomatic 56-year-old man clinically diagnosed with OSA using swept-source optical coherence tomography and[…][ncbi.nlm.nih.gov]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Recurrent Pulmonary Embolism

    pulmonale - RBBB CXR: rules out other pathology, focal oligaemia, wedge density (pulmonary infarction) ABG: reduced PaO2 in keeping with size of PE, metabolic acidosis with[lifeinthefastlane.com] Right axis deviation (R S in V1) and P-pulmonale may be present. T-wave inversion in leads V1 to V4 also occurs.[merckmanuals.com] "Acute cor pulmonale resulting from pulmonary embolism". J Am Med Assoc. 104 (17): 1473–80. doi : 10.1001/jama.1935.02760170011004.[en.wikipedia.org]

    Missing: Systolic Thrill at Lower Left Sternal Border

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