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59 Possible Causes for Prominent A-Wave, Pulmonary Systolic Murmur, Right Atrial Hypertrophy

  • Eisenmenger Syndrome

    ECG of Eisenmenger syndrome Usually there is right ventricular hypertrophy with prominent P waves.[remedyland.com] […] shunt (e.g., atrial septal defect, ventricular septal defect, patent ductus arteriosus) Electrocardiogram Right atrial enlargement Right ventricular hypertrophy Chest X-ray[echocardiology.org] Ejection systolic murmur audible along the left sternal border.[patient.info]

  • Pulmonary Valve Stenosis

    ECG of pulmonary valve stenosis Electrical axis deviation to right or right ventricular hypertrophy, prominent P wave.[remedyland.com] ECG: may show right ventricular hypertrophy, right atrial hypertrophy and right axis deviation.[patient.info] Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[ncbi.nlm.nih.gov]

  • Large Ventricular Septal Defect

    […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] In those with pulmonary hypertension, right axis deviation, right ventricular hypertrophy (RVH) and right atrial hypertrophy (RAH) may be seen.[patient.info] , 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]

  • Left to Right Cardiac Shunt

    […] elevated pulmonary vascular resistance, and right ventricular hypertrophy; supraventricular tachycardia, atrial flutter, or atrial fibrillation may also occur.[merckmanuals.com] Persistent moderate-to-large ASDs result in large shunts, leading to right atrial and right ventricular volume overload.[merckmanuals.com] Small atrial communications often close spontaneously, but larger ones do not, causing right atrial and ventricular overload and ultimately pulmonary artery hypertension,[merckmanuals.com]

  • 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] With development of cor pulmonale, the following additional changes are seen: Right atrial enlargement (P pulmonale) Right ventricular hypertrophy 3.[lifeinthefastlane.com] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info]

  • Atrial Septal Defect

    In sinus venosus ASD, it shows left axis deviation and a negative P wave in lead III.[symptoma.com] ECG Right axis deviation in 85% of cases Left axis deviation and prolonged PR interval seen in ostium primum Right Atrial enlargement 16.[slideshare.net] […] elevated pulmonary vascular resistance, and right ventricular hypertrophy; supraventricular tachycardia, atrial flutter, or atrial fibrillation may also occur.[merckmanuals.com]

  • Ostium Primum Atrial Septal Defect

    If MR is present, the findings of ASD may be modified Prominent v wave in JVP LV type apex IE may occur (unlike secundum ASD) ECG Incomplete RBBB pattern in v1 as in secundum[heartpearls.com] However, persistent, large shunts result in right atrial and ventricular volume overload, pulmonary artery hypertension, elevated pulmonary vascular resistance, and right[babiesonline.co.za] MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[slideshare.net]

  • 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] […] ventricular hypertrophy, and failure.[ncbi.nlm.nih.gov] Clinical signs include right ventricular (parasternal) heave, a loud pulmonary second heart sound, murmur of pulmonary regurgitation, systolic murmur of tricuspid regurgitation[patient.info]

  • 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] In the patient with a large ductus arteriosus and elevated pulmonary artery pressure, signs of right atrial enlargement and biventricular hypertrophy are frequently present[doi.org] Electrocardiogram The ECG may reveal sinus tachycardia, atrial fibrillation, left ventricular hypertrophy, as well as a left atrial enlargement in individuals with medium[lecturio.com]

  • Chronic Right-Sided Congestive Heart Failure

    […] gallop’ (occurs before S1 and is due to blood entering the ventricle during atrial systole hitting the stiff hypertrophied ventricular wall 1,2 pulsus alternans 1,2 right-predominant[radiopaedia.org] murmurs could be heard in the pulmonary valve auscultation area; and no pericardial friction sound was apparent.[omicsonline.org] 1,2 other organ dysfunction 1,2 added heart sounds 1,2 S3 ‘ventricular gallop’ (occurs after S2 and is due to blood slushing around in a large dilated ventricle) 1,2 S4 ‘atrial[radiopaedia.org]

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