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116 Possible Causes for Prominent A-Wave, Pulmonary Systolic Murmur, Right Bundle Branch Block

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  • Eisenmenger Syndrome

    ECG of Eisenmenger syndrome Usually there is right ventricular hypertrophy with prominent P waves.[remedyland.com] Elevated jugular venous pressure and prominent "v" wave in right heart failure and severe tricuspid regurgitation.[ncbi.nlm.nih.gov] 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] Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[ncbi.nlm.nih.gov] With increasing right ventricular hypertrophy, right ventricular compliance decreases with a resultant increase in end-diastolic pressure and with prominent a waves in the[emedicine.medscape.com]

  • Posterior Myocardial Infarction

    A common theory is that prominent R-waves may actually represent inverted Q-waves. 1,8 Interestingly, over a third of patients had prominent R-waves in either V1 or V2.[bjcardio.co.uk] 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] Also, both patients had complete right bundle-branch block (RBBB) [old in patient 1, new in patient 2], the pattern of which was altered due to the associated PMI.[ncbi.nlm.nih.gov]

  • Atrial Septal Defect

    In sinus venosus ASD, it shows left axis deviation and a negative P wave in lead III.[symptoma.com] MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[slideshare.net] The impact of incomplete right bundle branch block (IRBBB) and ASD diameter (  5 and KEYWORDS: Crochetage on R wave; Inferior leads; Pediatric; Secundum atrial septal defect[ncbi.nlm.nih.gov]

  • 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] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info] V leads; (3) ST depressions in leads II, III, and aV F ; and (4) transitory right bundle-branch block.[ahajournals.org]

  • 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] MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[slideshare.net] When a person is suspected of having an ASD based on the findings of an incomplete right bundle branch block with a rSr' or rSR', the frontal plane QRS should be examined.[en.wikipedia.org]

  • 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] His chest X-ray showed cardiomegaly and enlargement of the left pulmonary hilum, and an electrocardiogram revealed sinus tachycardia with incomplete right bundle branch block[elsevier.pt] 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]

  • Diffuse Intraventricular Block

    Prominent R-wave in lead V1 (R/S ratio 1) WPW Posterior MI RBBB (or incomplete RBBB) Ventricular ectopy RVH Acute right ventricular dilatation (right ventricular “strain,”[lifeinthefastlane.com] The murmur of a patent ductus arteriosus is continuous throughout systole and diastole since the aortic pressure (normally 120/80) is ALWAYS higher than the pulmonary artery[healio.com] ; premature ventricular contractions; left or right axis deviation; delayed transition; left bundle branch block (LBBB) (complete or incomplete); right bundle branch block[journals.plos.org]

  • Large Ventricular Septal Defect

    […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] bundle-branch block; in large VSDs, it shows left and right ventricular hypertrophy, suggesting pulmonary hypertension.[quizlet.com] Bacterial endocarditis is a lifelong risk in unoperated patients (18.7 per 10,000 patient-years) and in those with residual defects. [ 3 ] Right bundle branch block may be[patient.info]

  • Lateral Wall Myocardial Infarction

    ) Prominent R wave Prominent, upright T wave Combination of horizontal ST-segment depression with upright T wave What is the correct placement of leads V7 – V9?[aliem.com] The patient is usually hypotensive, in acute pulmonary oedema with a new systolic murmur present.[bsecho.org] Inferior-Posterior STEMI Example #1 Inferior-Posterior STEMI Example #2 Type #4: Acute MI with a Right Bundle Branch Block Recall that a right bundle branch block does not[healio.com]

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