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133 Possible Causes for Prominent A-Wave, Pulmonary Systolic Murmur, Sudden Death

  • Eisenmenger Syndrome

    ECG of Eisenmenger syndrome Usually there is right ventricular hypertrophy with prominent P waves.[remedyland.com] There were 21 (13%) documented deaths, of which 8 (5%) were sudden death.[ncbi.nlm.nih.gov] Elevated jugular venous pressure and prominent "v" wave in right heart failure and severe tricuspid regurgitation.[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] 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]

  • Pulmonary Valve Stenosis

    ECG of pulmonary valve stenosis Electrical axis deviation to right or right ventricular hypertrophy, prominent P wave.[remedyland.com] Pulmonary valve stenosis signs and symptoms may include: Chest pain Tiredness Fainting Shortness of breath Heart murmur Bluish color of the skin (cyanosis) Sudden death Causes[humanitas.net] Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[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] In the United States, approximately 25,000 sudden deaths occur per year from heart failure associated with pulmonary emboli.[nursing.unboundmedicine.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] Clinical signs include right ventricular (parasternal) heave, a loud pulmonary second heart sound, murmur of pulmonary regurgitation, systolic murmur of tricuspid regurgitation[patient.info] A prominent A wave may be observed in the jugular venous pulse. A right-sided fourth heart sound (S 4 ) with a left parasternal heave may be auscultated.[emedicine.medscape.com]

  • Myocardial Infarction

    Lateral MI explains the presence of prominent R wave (R S) in V1. Ann Noninvasive Electrocardiol. 2015 ; 20 :570–577. doi: 10.1111/anec.12260.[circ.ahajournals.org] The primary outcome was the composite of sudden death or death from ventricular tachyarrhythmia at 90 days (arrhythmic death).[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]

  • Patent Ductus Arteriosus

    It can lead to congestive heart failure and sudden death. Heart failure in PDA develops because of an excessive workload on the heart.[news-medical.net] 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] death 4.[scielo.br]

  • Acute Myocardial Infarction

    Right heart catheterization will show prominent “V waves” in the pulmonary capillary wedge pressure tracing.[healio.com] We have recently experienced 2 cases of sudden death after bone fracture surgery, in which AMI and pulmonary thromboembolism were clinically suspected as causes of death.[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]

  • Acute Cor Pulmonale

    Clinical findings associated with pulmonary heart disease include jugular venous distension, prominent v-wave in the jugular venous pulsation, narrow S-2 split or no split[acphospitalist.org] death.[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]

  • Pulmonary Atresia

    With progressive right ventricular failure, hepatomegaly and prominent “a” wave of jugular venous pulse may be observed.[ispub.com] We report a case of paroxysmal complete atrioventricular block that raises the possibility of an additional mechanism of sudden death.[ncbi.nlm.nih.gov] Auscultatory finding: harsh systolic murmur that is best heard over Erb's point and left upper sternal border ; single second heart sound Diagnostics Pulse oximetry : SpO2[amboss.com]

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