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62 Possible Causes for Polycythemia, Prominent A-Wave, Pulmonary Systolic Murmur

  • Eisenmenger Syndrome

    ECG of Eisenmenger syndrome Usually there is right ventricular hypertrophy with prominent P waves.[remedyland.com] Chronic hypoxia caused by Eisenmenger syndrome may result in polycythemia with resultant hyperviscosity and bilateral central retinal vein occlusion.[ncbi.nlm.nih.gov] Elevated jugular venous pressure and prominent "v" wave in right heart failure and severe tricuspid regurgitation.[ncbi.nlm.nih.gov]

  • Patent Ductus Arteriosus

    Course and Complications  Ejection systolic murmur at birth (due to pulmonary hypertension)  continuous murmur after a few weeks  Development of Pulmonary arterial hypertension[slideshare.net] A heart murmur occurs in the pulmonary area; the murmur may be continuous, systolic with a short diastolic component, or only systolic, depending on the pulmonary artery pressure[msdmanuals.com]  diastolic component lost  ejection systolic murmur  Severe PAH  rt to lft shunt  disappearance of the murmur and appearance of differential cyanosis 15.[slideshare.net]

  • Large Ventricular Septal Defect

    In addition, neonates have a relative polycythemia. The elevated pulmonary resistance usually declines to adult levels by 6-8 weeks.[emedicine.medscape.com] […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] Over time, hypoxia can result in clubbing of the fingers and the proliferation of red blood cells (polycythemia).[rarediseases.org]

  • Chronic Right-Sided Congestive Heart Failure

    Distended neck veins with raised and/or prominent JVP and visible a or v waves. 3rd/4th heart sounds and pansystolic murmur of tricuspid regurgitation over right heart.[patient.info] […] conditions that lead to an increased cardiac demand ( high-output state) Anemia Systemic arteriovenous fistulas Sepsis Hyperthyroidism Multiple myeloma Glomerulonephritis Polycythemia[amboss.com] In patients with considerable tricuspid regurgitation, a prominent systolic pulsation of the liver, attributable to an enlarged right atrial V wave, is often noted.[emedicine.medscape.com]

  • Left to Right Cardiac Shunt

    Degree of polycythemia Significant cyanosis usually results in polycythemia, the biological response to decreased tissue oxygen delivery and the attempt to maintain adequate[cancertherapyadvisor.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] […] is to increase the ability of the blood to carry oxygen by increasing the number of red blood cells, a condition called secondary erythrocytosis, sometimes referred to as polycythemia[heart.org]

  • Pulmonary Atresia

    With progressive right ventricular failure, hepatomegaly and prominent “a” wave of jugular venous pulse may be observed.[ispub.com] This alleviates cyanosis and polycythemia during infancy.[heartviews.org] Auscultatory finding: harsh systolic murmur that is best heard over Erb's point and left upper sternal border ; single second heart sound Diagnostics Pulse oximetry : SpO2[amboss.com]

  • Congenital Heart Disease

    A and V waves Diffuse, displaced left ventricular impulse; palpable RV impulse Increased first heart sound; persistent splitting of second heart sound Systolic ejection-type[doi.org] ., polycythemia, methemoglobinemia) To distinguish central cyanosis from peripheral cyanosis, look for bluish discoloration inside the mouth – tongue, mucous membranes and[emergencymedicinecases.com] […] 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]

  • Right Heart Endocarditis

    Clinically, he was toxic, tachycardic, tachypneic, febrile with elevated juguler venous pressure, and a prominent V wave.[heartviews.org] Complications of persistent cyanosis include polycythemia , clubbing, thromboembolism (including stroke), bleeding disorders, brain abscess, and hyperuricemia.[msdmanuals.com] Increased flow across the pulmonary or aortic valve causes a midsystolic crescendo-decrescendo (ejection systolic) murmur.[msdmanuals.com]

  • Corrected Transposition of the Great Vessels

    ECG absence of Q waves in the lateral precordium (V4-6) physiologic Q waves in these leads often referred to as "septal" Q waves prominent Q waves in right precordium (V1-[radiopaedia.org] Poor prognostic indicators include cyanosis, polycythemia, pulmonary vascular obstructive disease, tricuspid regurgitation, younger age at surgery, larger preoperative shunt[emedicine.medscape.com] He began to experience signs and symptoms of heart failure in 1992, with a systolic murmur audible over the left sternal border.[elsevier.pt]

  • Cor Pulmonale

    On electrocardiogram, there was right axis deviation, p-pulmonale, features of right ventricular hypertrophy along with presence of prominent Q waves in leads II, III and[ijem.in] Secondary polycythemia was noted in 32 of 40 patients (80%).[ncbi.nlm.nih.gov] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info]

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