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27 Possible Causes for Poor R Wave Progression, Pulmonary Systolic Murmur

  • Eisenmenger Syndrome

    Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[remedyland.com] Ejection systolic murmur audible along the left sternal border.[patient.info] Right ventricular heave with palpable, loud pulmonary component of the second heart sound. Loud second heart sound with a narrow split.[patient.info]

  • Right Ventricular Outflow Obstruction

    Examination revealed an ejection systolic murmur in the pulmonary area. The electrocardiogram showed complete heart block.[onlinejacc.org]

  • Cor Pulmonale

    R wave progression RAE with and RVH multifocal atrial tachycardia return to top Differential Diagnosis return to top Treatments Consequences and Course return to top The[sharinginhealth.ca] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info] Right heart failure Symptoms: predominant short of breath,palpitation, inappetence,nausea Signs: cyanosis,tachycardia,arrhythmia,subxiphoid systolic murmur or even diastolic[slideshare.net]

  • Anterior Myocardial Infarction

    The remarkable feature is the poor R wave progression in the V1 and V2 leads and the ST elevation and T wave changes in leads V1 to V4 and I and aVL.[wikidoc.org] Third and fourth heart sound, systolic murmur if mitral regurgitation or ventricular septal defect develops, pericardial rub.[patient.info] This is a cause of poor R wave progression , or PRWP.[healio.com]

  • Pulmonary Embolism

    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] murmur over the left sternal border that is louder during inspiration, hepatomegaly, ascites, and dependent pitting edema.[emedicine.medscape.com] Patients may have elevated jugular venous pressure, right ventricular heave, palpable impulse in the left second intercostal space, right ventricular S 3 gallop, systolic[emedicine.medscape.com]

  • Acute Cor Pulmonale

    […] and pulmonic insufficiency murmurs, and later, distended jugular veins, hepatomegaly, and lower-extremity edema.[merckmanuals.com] Cor pulmonale is RV enlargement and eventually failure secondary to a lung disorder that causes pulmonary artery hypertension.[merckmanuals.com] Key Points Cor pulmonale is RV enlargement and eventually failure secondary to a lung disorder that causes pulmonary artery hypertension.[merckmanuals.com]

  • Congenital Pericardium Anomaly

    Her electrocardiogram showed poor R wave progression. Postero-anterior chest -X ray showed cardiac levoposition with borderline cardiac size (Figure1).[ispub.com] In other cases the ECG may show typical findings such as right axis deviation, incomplete or complete right bundle branch block and poor Rwave progression due to clockwise[revportcardiol.org] Thirty hours before death urgent dyspnoea, collapse, and a systolic murmur over the precordium suddenly appeared.[embryology.med.unsw.edu.au]

  • Heart Failure

    Electrocardiography demonstrated poor R-wave progression in leads V1-V3 with right axis deviation and low voltage criteria.[ncbi.nlm.nih.gov] The characteristic apical systolic murmur may be absent in patients with severe MR, due to the abrupt and severe elevation of left atrial pressure.[doi.org] We report a case of a 50-year-old man who was admitted with evolution of progressive dyspnea.[ncbi.nlm.nih.gov]

  • Acute Myocardial Infarction

    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] Third and fourth heart sound, systolic murmur if mitral regurgitation or ventricular septal defect develops, pericardial rub.[patient.info] Example 5 Prior Anteroseptal / Lateral MI Deep Q waves in V1-3 with markedly reduced R wave height in V4.[lifeinthefastlane.com]

  • Myocardial Infarction

    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] Third and fourth heart sound, systolic murmur if mitral regurgitation or ventricular septal defect develops, pericardial rub.[patient.info] […] edema and/or shock; a systolic murmur may not always be appreciated.[doi.org]

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