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22 Possible Causes for Pansystolic Murmur, Sinus Bradycardia, T Wave Inversion

  • Myocardial Infarction

    Pacing in STEMI: Recommendation Class I Temporary pacing is indicated for symptomatic bradyarrhythmias unresponsive to medical treatment. ( Level of Evidence: C ) Sinus bradycardia[doi.org] ST segment depression and T wave inversion are associated with subendocardial infarction.[histopathology-india.net] Biphasic/inverted T waves in V1-5. Poor R wave progression (R wave height 3mm in V3). Abnormal Q waves and T-wave inversion in I and aVL.[lifeinthefastlane.com]

  • Acute Myocardial Infarction

    Electrocardiographic changes include ST segment elevation, onset of sinus tachycardia (by adrenergic discharge), malignant ventricular arrhythmias, extreme bradycardia, and[f1000research.com] Features may initially be normal but abnormalities include new ST-segment elevation; initially peaked T waves and then T-wave inversion; new Q waves; new conduction defects[patient.info] This is because LBBB alone can produce signs that may be confused with those of infarction: deep QS waves in the right chest leads and ST depression and T wave inversion in[medicine-on-line.com]

  • Cardiomyopathy

    […] findings may include the following: ST-T wave abnormalities and LVH (common) Axis deviation (right or left) Conduction abnormalities (P-R prolongation, bundle-branch block) Sinus[emedicine.medscape.com] wave inversion, abnormal Q waves , nonspecific abnormalities Laboratory: troponin T ; , BNP Echocardiography : apical left ventricular ballooning , LVEF Coronary angiography[amboss.com] The resting ECG is unremarkable, except for sinus bradycardia and prominent U waves in some patients.[web.archive.org]

  • Inferior Wall Myocardial Infarction

    Patients may also manifest signs of sinus node dysfunction, such as sinus bradycardia, sinus pauses, sinoatrial exit block and sinus arrest.[lifeinthefastlane.com] Diagnostic T-wave inversion was defined as complete T inversion or biphasic waves with initial, predominantly negative deflection.[ncbi.nlm.nih.gov] On hospital day six, the patient developed acute respiratory distress, a new loud pansystolic murmur, and hemodynamic instability.[ncbi.nlm.nih.gov]

  • Hypertrophic Cardiomyopathy

    ECG: Findings also may include right or left axis deviation, conduction abnormalities, sinus bradycardia with ectopic atrial rhythm and atrial enlargement.[patient.info] The most peculiar electrocardiogram findings are giant T-waves inversion in the precordial leads with left ventricular (LV) hypertrophy.[ncbi.nlm.nih.gov] First, you will hear the diamond shaped aortic murmur and later the rectangular pansystolic murmur.[easyauscultation.com]

  • Secondary Cardiomyopathy

    Telemetry monitoring showed sinus bradycardia at 38bpm. The patient started complaining of shortness of breath.[radcliffecardiology.com] These may include electrocardiogram (ECG) changes of QT prolongation and T wave inversion, elevated biochemical markers of myocardial damage and heart failure, and decreased[link.springer.com]

  • Mitral Valve Prolapse

    Classification of ECG Abnormalities ECG Abnormalities ( 1) n (%) Group 1 Sinus bradycardia 172 (6.2) First-degree AV block 6 (0.2) Incomplete RBBB 285 (10.3) Early repolarization[dx.doi.org] Abstract A 33-year-old man was investigated for dyspnea on exertion and the presence of a pansystolic murmur.[ncbi.nlm.nih.gov] The most common abnormality is the presence of ST-T wave depression or T-wave inversion in the inferior leads (II, III and aVF). 13 MVP is associated with an increased incidence[aafp.org]

  • Ventricular Aneurysm

    Pericardial friction rub or decreased heart sound, elevation of both left and right side, filling pressure, sinus bradycardia or junctional rhythm, are all signs of pseudo-aneurysm[cardiothoracicsurgery.org] Figure 1: Chest X-ray Figure 2: Calcified Lesion Found Electrocadiography showed Sinus rhythm, conductive delay, Q wave II, III, AVF, V5-V6 leads, T-inversion I, and AVL.[omjournal.org] There may be an apical pansystolic murmur due to the LV wall anatomical distortion, and also from mitral regurgitation , if present. References Mann, Douglas (2015).[wikidoc.org]

  • Arrhythmogenic Right Ventricular Dysplasia

    徐脈性不整脈 bradyarrhythmia 洞徐脈 sinus bradycardia 洞不全症候群 sick sinus syndrome 接合部調律 junctional rhythm 房室接合部調律 atrioventricular junctional rhythm 【同】房室結節調律 atrioventricular nodal[jams.med.or.jp] The patient had T-wave inversion in the inferior ECG leads and no history of arrhythmias.[ncbi.nlm.nih.gov] First and second heart sounds were muffled, third heart sound was audible (gallop rhythm) with a grade 3/6 pansystolic murmur at the left lower sternal border and the lung[annsaudimed.net]

  • Left Cardiac Ventricle Disorder

    Signs: raised jugular venous pulse (JVP), left parasternal lift, an accentuated second pulmonary sound, right ventricular gallop, usually a pansystolic murmur over the tricuspid[escardio.org] In SSS , the heart rate can alternate between slow ( bradycardia ) and fast ( tachycardia ), often in combination with atrial fibrillation or atrial flutter .[hrsonline.org] Sinus Tachycardia A harmless faster rhythm, sinus tachycardia is a normal increase in heart rate that happens with fever, excitement, and exercise.[hrsonline.org]

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