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15 Possible Causes for Poor R Wave Progression, Pulmonary Systolic Murmur, Retrosternal Chest Pain

  • 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] Diagnosis is made by detection of a new systolic murmur, and by the documentation of giant "V-waves" on the pulmonary capillary wedge tracing.[brown.edu] A 58-year- old male presented with severe retrosternal chest and back pain radiates to his left arm for 20 hours was admitted to our coronary care unit.[austinpublishinggroup.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] Pleuritic chest pain, retrosternal chest pain. Cough and haemoptysis. Any chest symptoms in a patient with symptoms suggesting a deep vein thrombosis (DVT).[patient.info] murmur over the left sternal border that is louder during inspiration, hepatomegaly, ascites, and dependent pitting edema.[emedicine.medscape.com]

  • Acute Cor Pulmonale

    Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info] […] 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.[msdmanuals.com]

  • Lateral Wall Myocardial Infarction

    EKG Examples Shown below is an EKG demonstrating sinus rhythm and a QRS with a rightward axis, as well as wide Q waves in leads I and aVL as well as a poor R wave progression[wikidoc.org] The patient is usually hypotensive, in acute pulmonary oedema with a new systolic murmur present.[bsecho.org] Diagnosis is made by detection of a new systolic murmur, and by the documentation of giant "V-waves" on the pulmonary capillary wedge tracing.[brown.edu]

  • Posterior Myocardial Infarction

    ) LVH (may have QS pattern or poor R wave progression in leads V1-3) RVH (tall R waves in V1 or V2 may mimic true posterior MI) Complete or incomplete LBBB (QS waves or poor[ecg.utah.edu] Diagnosis is made by detection of a new systolic murmur, and by the documentation of giant "V-waves" on the pulmonary capillary wedge tracing.[brown.edu] The chest pain is intense, lasts for more than 30- 60 minutes, is located in the retrosternal area and may radiate to the jaw, neck, epigastrium, left shoulder, arm or the[symptoma.com]

  • 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] Diagnosis is made by detection of a new systolic murmur, and by the documentation of giant "V-waves" on the pulmonary capillary wedge tracing.[brown.edu] A 34-year-old woman was taken to the Emergency Department of our hospital, presenting with a sudden onset and persistent retrosternal chest pain radiating to both upper extremities[ncbi.nlm.nih.gov]

  • Acute Atrial Infarction

    In contrast, poor R wave progression is commonly observed with LVH and with acute or chronic right ventricular overload.[angelfire.com] Diagnosis is made by detection of a new systolic murmur, and by the documentation of giant "V-waves" on the pulmonary capillary wedge tracing.[brown.edu] chest pain.[ncbi.nlm.nih.gov]

  • 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] Signs Signs of impaired myocardial function 3 rd / 4 th heart sounds Pan systolic murmur Pericardial rub Pulmonary oedema – crepitations in the lungs Hypotension Quiet first[almostadoctor.co.uk] However,the patient presented to the Emergency Department of the Mildura Base Hospital 30 minutes after the test withsevere retrosternal chest pain.[platform.almanhal.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] Common symptoms include [ 24, 25 ] chronic cough, chest pain, dyspnea and a feeling of retrosternal pressure.[interventional-cardiology.imedpub.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]

  • Acute Chagas Disease with Myocarditis

    wave and pathological Q wave specific to myocardial infarction, not found in myocarditis Pericardial effusion : low voltage (low R-wave with poor progression) Imaging Chest[amboss.com] […] apical murmur (grade III out of VI) and normal pulmonary sounds on auscultation.[tmj.ro] […] with a concave ascending S wave indicates perimyocarditis Heart block : right bundle branch block, complete heart block, AV block Rule out myocardial infarction : loss of R[amboss.com]