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110 Possible Causes for Prominent A-Wave, Pulmonary Infarction, Pulmonary Systolic Murmur

  • 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]

  • Right Heart Endocarditis

    Clinically, he was toxic, tachycardic, tachypneic, febrile with elevated juguler venous pressure, and a prominent V wave.[heartviews.org] infarctions, mycotic aneurysm, intracranial hemorrhage, conjunctival hemorrhages, Janeway lesions Table 1.[aafp.org] Increased flow across the pulmonary or aortic valve causes a midsystolic crescendo-decrescendo (ejection systolic) murmur.[msdmanuals.com]

  • Eisenmenger Syndrome

    ECG of Eisenmenger syndrome Usually there is right ventricular hypertrophy with prominent P waves.[remedyland.com] In addition, death may also occur from pulmonary thromboembolism or in situ pulmonary infarction 1.[scielo.br] Elevated jugular venous pressure and prominent "v" wave in right heart failure and severe tricuspid regurgitation.[ncbi.nlm.nih.gov]

  • 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] Right sided heart failure may result from an acute condition sich as right ventricle infarction or pulmonary embolism.[quizlet.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]

  • Pulmonary Hypertension

    […] for conditions that can produce pulmonary hypertension (murmurs, collagen disease, valve pathology, VTE, OSA, alcohol consumption, chronic respiratory disease) Examination prominent[lifeinthefastlane.com] Primary right ventricular failure - eg, following myocardial infarction. Congestive cardiac failure. Recurrent pulmonary emboli. Mitral or tricuspid stenosis.[patient.info] High-resolution computed tomography is especially useful to assess pulmonary arterial thrombi ( Figure 1A and 1 B) and to exclude intrapulmonary hemorrhage or infarction in[doi.org]

  • Congestive Heart Failure

    In 893 patients aged from 40 to 102 years, we simultaneously recorded electrocardiogram, phonocardiogram, and jugular venous pulse wave.[ncbi.nlm.nih.gov] Electrocardiography (ECG): ECG may show signs of right and left ventricular enlargement, myocardial infarction and arrhythmias.[symptoma.com] 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]

  • Pulmonary Embolism

    […] progressively developed in both TC and reperfused anterior acute myocardial infarction during the subacute phase and were especially prominent in the former, suggesting that[ncbi.nlm.nih.gov] An echocardiography and CT scan showed pulmonary embolism and infarction with a paradoxical thrombus visualised in both atria.[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]

  • Pulmonary Valve Stenosis

    ECG of pulmonary valve stenosis Electrical axis deviation to right or right ventricular hypertrophy, prominent P wave.[remedyland.com] pulmonary valve insufficiency neonate with critical pulmonary valve stenosis: nearly 25% patients require reintervention to address related complications, restenosis, and[medicina-interventionala.ro] Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[ncbi.nlm.nih.gov]

  • Pulmonary Valve Disease

    The jugular pulse may have a prominent "A" wave. If the pulmonary regurgitation component is severe, the heart may be enlarged, pulsatile and painful.[symptoma.com] (heart attack) - Dressler's syndrome Pulmonary circulation Pulmonary embolism - Cor pulmonale Pericardium Pericarditis - Pericardial effusion - Cardiac tamponade Endocardium[wikidoc.org] Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down.[patient.info]

  • Large Ventricular Septal Defect

    This diagnostic technique can be helpful when a patient presents after an acute myocardial infarction with pulmonary edema and shock to diagnose an acute ventricular septal[healio.com] […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] , loudest at the fourth intercostal space, usually with a thrill, and a loud and widely split pulmonic component of S2 With fixed pulmonary hypertension, diastolic murmur[quizlet.com]

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