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136 Possible Causes for Prominent A-Wave, Pulmonary Systolic Murmur, Systolic Murmur

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  • Patent Ductus Arteriosus

    The murmur is usually recognized as systolic rather than continuous in the first weeks of life and can mimic a benign systolic murmur.[emedicine.medscape.com] 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]

  • Pulmonary Valve Stenosis

    ECG of pulmonary valve stenosis Electrical axis deviation to right or right ventricular hypertrophy, prominent P wave.[remedyland.com] He was found to have an ejection systolic murmur and evidence of right ventricular outflow tract obstruction, with a peak velocity of 4.5 m/s recorded by transthoracic Doppler[ncbi.nlm.nih.gov] 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] 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]

  • Large Ventricular Septal Defect

    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] Its clinical characteristics also include a systolic murmur and a palpable thrill on both sides of the chest, dyspnea and poor exercise tolerance.[medical-dictionary.thefreedictionary.com]

  • Right Heart Endocarditis

    Clinically, he was toxic, tachycardic, tachypneic, febrile with elevated juguler venous pressure, and a prominent V wave.[heartviews.org] Murmurs Most left-to-right shunts and obstructive lesions cause systolic murmurs.[msdmanuals.com] Increased flow across the pulmonary or aortic valve causes a midsystolic crescendo-decrescendo (ejection systolic) murmur.[msdmanuals.com]

  • Left to Right Cardiac Shunt

    Auscultation typically reveals a grade 2 to 3/6 midsystolic (ejection systolic) murmur (see table Heart Murmur Intensity ) and a widely split, fixed S2 at the upper left sternal[merckmanuals.com] Chest x-ray : Adults with isolated pulmonary stenosis show a prominent pulmonary artery segment.[amboss.com] (harsh, long crescendo-decrescendo systolic ejection murmur along the left sternal border).[cancertherapyadvisor.com]

  • 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] murmur and a pronounced second heart sound.[ncbi.nlm.nih.gov]

  • Congenital 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] Visible and palpable signs reflect the effects of right ventricular (RV) hypertrophy and include a prominent jugular venous a wave (due to forceful atrial contraction against[merckmanuals.com]

  • Atrial Septal Defect

    In sinus venosus ASD, it shows left axis deviation and a negative P wave in lead III.[symptoma.com] murmur but did not clearly show the presence of fixed splitting of S2.[ncbi.nlm.nih.gov] MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[slideshare.net]

  • 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] Persistent apical systolic murmur suggestive of mitral regurgitation was heard in five patients (42%) after the operation.[ohsu.pure.elsevier.com] MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[slideshare.net]

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