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69 Possible Causes for Prominent A-Wave, Pulmonary Systolic Murmur, Right Heart Endocarditis

  • 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] It is important to correct PDA because it can lead to congestive heart failure and a disease of the right side of the heart (called cor pulmonale) later in life.[texasheart.org] If a PDA is small, the doctor may not treat it right away. Antibiotics will be given in some cases to prevent infection of the heart until the PDA is closed.[nationwidechildrens.org]

  • 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] Right ventricular hypertrophy Heart failure Irregular heartbeats Pulmonary valve stenosis is diagnosed in the childhood, but if the disease is mild, it remains unnoticed.[gleneaglesglobalhospitals.com]

  • Large Ventricular Septal Defect

    […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] […] failure Infective endocarditis (bacterial infection of the heart) Pulmonary hypertension (high blood pressure in the lungs) leading to failure of the right side of the heart[ufhealth.org] , 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]

  • Right Heart Endocarditis

    Clinically, he was toxic, tachycardic, tachypneic, febrile with elevated juguler venous pressure, and a prominent V wave.[heartviews.org] Increased flow across the pulmonary or aortic valve causes a midsystolic crescendo-decrescendo (ejection systolic) murmur.[msdmanuals.com] Our study showed that surgical intervention and concomitant left heart endocarditis are positive and negative prognostic factors for outcomes after right heart endocarditis[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] Rupture of SVA (with progressive heart failure and left-to-right shunting or endocarditis) is the main cause of death and rarely occurs before age 20 years in congenital SVA[emedicine.medscape.com]

  • Eisenmenger Syndrome

    ECG of Eisenmenger syndrome Usually there is right ventricular hypertrophy with prominent P waves.[remedyland.com] Precordial signs of ES are loud (often palpable) second heart sound and right ventricular heave.[orpha.net] Elevated jugular venous pressure and prominent "v" wave in right heart failure and severe tricuspid regurgitation.[ncbi.nlm.nih.gov]

  • Acute Myocardial Infarction

    Right heart catheterization will show prominent “V waves” in the pulmonary capillary wedge pressure tracing.[healio.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] Emboli - from left sided mural thrombosis, vegetative endocarditis, or paradoxic emboli from the right side of heart through a patent foramen ovale.[library.med.utah.edu]

  • Tricuspid Stenosis

    Patients often display a prominent A Wave as atrial systole against the stenotic tricuspid valve results in an exaggerated increase in right atrial pressure and thus bulging[pathwaymedicine.org] In the absence of pulmonary hypertension, the murmur is usually low-intensity and early systolic.[patient.info] […] of TS- - Regional Tamponade - Systemic Lupus - Intracardiac wires - Prosthetic heart valve - Endocarditis Patient symptoms and Physical Examination: - signs and symptoms[quizlet.com]

  • 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] Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down.[patient.info] The pressure wave form in the right atrium shows the characteristic prominent systolic V wave with rapid descent only in the most severe cases.[revespcardiol.org]

  • Congenital Heart Disease

    A and V waves Diffuse, displaced left ventricular impulse; palpable RV impulse Increased first heart sound; persistent splitting of second heart sound Systolic ejection-type[doi.org] Aortic Valve Chest Pain Coarctation of the Aorta Coronary Artery Fistula Dextrocardia Dilated Cardiomyopathy Double Aortic Arch Double Inlet Left Ventricle Double Outlet Right[hopkinsmedicine.org] TABLE 3 Procedures for Which Endocarditis Prophylaxis Is Not Required: American Heart Association Recommendations The rightsholder did not grant rights to reproduce this item[aafp.org]

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