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39 Possible Causes for Poor R Wave Progression, Pulmonary Systolic Murmur, Tachycardia

  • Right Ventricular Outflow Obstruction

    A 71-year-old woman, who had had an acute infarction 10 years before, was admitted for sustained ventricular tachycardia.[ncbi.nlm.nih.gov] Examination revealed an ejection systolic murmur in the pulmonary area. The electrocardiogram showed complete heart block.[onlinejacc.org] On examination there was a systolic thrill and a loud ejection murmur in the pulmonary area.[heart.bmj.com]

  • Pulmonary Embolism

    Neurological examination returned to base line status but sinus tachycardia and low saturation value on room air were continuing.[ncbi.nlm.nih.gov] 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] Tracheobronchomalacia is an uncommon condition, which presents with similar symptoms to pulmonary embolism, including hypoxemia, tachycardia, and shortness of breath.[ncbi.nlm.nih.gov]

  • Eisenmenger Syndrome

    […] and flutter (2 patients, 7%), nonsustained ventricular tachycardia (6 patients, 21%) and sustained ventricular tachycardia (6 patients, 21%).[ncbi.nlm.nih.gov] 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]

  • Acute Cor Pulmonale

    75 ARDS patients submitted to protective ventilation revealed the persistence of a 25% incidence of ACP, resulting in detrimental hemodynamic consequences associated with tachycardia[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] Don’t forget about tachycardia! Tachycardia is the most likely EKG finding in a patient with acute PE.[ditchdocem.com]

  • Cor Pulmonale

    On admission the mare was in poor body condition, with severe inspiratory and expiratory dyspnoea associated with severe hypoxaemia and marked tachycardia.[onlinelibrary.wiley.com] 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]

  • Heart Failure

    Electrocardiography demonstrated poor R-wave progression in leads V1-V3 with right axis deviation and low voltage criteria.[ncbi.nlm.nih.gov] We describe the novel use of bilateral cardiac sympathectomy in a woman with end-stage heart failure caused by ventricular tachycardia refractory to standard medical therapy[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]

  • 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] Bidirectional ventricular tachycardia (BVT) is a rare ventricular tachyarrhythmia.[ncbi.nlm.nih.gov] 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]

  • 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] (PVCs) which might progress to ventricular tachycardia.[lms.rn.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]

  • 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] Bidirectional ventricular tachycardia (BVT) is a rare ventricular tachyarrhythmia.[ncbi.nlm.nih.gov] 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]

  • Lateral Wall Myocardial Infarction

    , Sinus Arrest, Sinoatrial Exit Block, Atrial Premature Complexes, Atrial Tachycardia, Multifocal Atrial Tachycardia, Supraventricular Tachycardia, Atrial Flutter, Atrial[play.google.com] 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]

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