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112 Possible Causes for Prominent A-Wave, Pulmonary Systolic Murmur, X-Ray Abnormal

  • Patent Ductus Arteriosus

    , genetic conditions Diagnostic method Echocardiography, Doppler, X-ray Prevention Screening at birth, high index of suspicion in neonates at risk Treatment NSAIDs, surgery[en.wikipedia.org] 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]

  • Eisenmenger Syndrome

    ECG of Eisenmenger syndrome Usually there is right ventricular hypertrophy with prominent P waves.[remedyland.com] DIAGNOSTIC TESTING, PHYSICAL FINDINGS, AND ICD-9-CM CODING Diagnostic testing: Diagnostic testing for Eisenmenger syndrome includes: • Complete blood count (CBC); • Chest x-ray[secure.ssa.gov] Elevated jugular venous pressure and prominent "v" wave in right heart failure and severe tricuspid regurgitation.[ncbi.nlm.nih.gov]

  • Pulmonary Valve Stenosis

    ECG of pulmonary valve stenosis Electrical axis deviation to right or right ventricular hypertrophy, prominent P wave.[remedyland.com] The physician injects a contrast solution into the artery and takes X-rays to check for blockage and other abnormalities.[wexnermedical.osu.edu] Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[ncbi.nlm.nih.gov]

  • Large Ventricular Septal Defect

    Tests may include: A chest X-ray An ECG (also called an EKG or electrocardiogram), which measures and records the heartbeat An echocardiogram, which uses sound waves (ultrasound[summitmedicalgroup.com] […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] Also, there may be changes in the lungs due to extra blood flow that can be seen on an X-ray. Electrocardiogram (ECG).[stanfordchildrens.org]

  • 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] Initial tests usually include a chest X-ray and a heart tracing (an electrocardiogram, or ECG).[patient.info]

  • Left to Right Cardiac Shunt

    They may be noted on routine testing to have an abnormal chest x-ray or an abnormal EKG and may have atrial fibrillation.[marmur.com] Auscultatory findings Harsh h olosystolic murmur over the left lower sternal border ; typically louder in small defects Mid- diastolic murmur over cardiac apex Systolic thrill[amboss.com] […] on chest X-ray, the patient is normothermic and only mildly sedated.[cancertherapyadvisor.com]

  • Pulmonary Atresia

    With progressive right ventricular failure, hepatomegaly and prominent “a” wave of jugular venous pulse may be observed.[ispub.com] 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] Imaging studies such as X-rays and magnetic resonance imaging may reveal a slightly enlarged heart and abnormal formation of pulmonary vessels.[symptoma.com]

  • Atrial Septal Defect

    In sinus venosus ASD, it shows left axis deviation and a negative P wave in lead III.[symptoma.com] Chest X-ray Image : “Abnormal chest X-ray as seen in a patient of Atrial septal defect.” . By WikiSysop.[lecturio.com] MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[slideshare.net]

  • 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] Diagnostic Highlights Test Normal Result Abnormality With Condition Explanation Chest x-rays Normal heart size and clear lungs Enlarged right ventricle and pulmonary artery[nursing.unboundmedicine.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]

  • 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] They may be noted on routine testing to have an abnormal chest x-ray or an abnormal EKG and may have atrial fibrillation.[marmur.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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