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68 Possible Causes for Prominent A-Wave, Systemic Arterial Embolism

  • Atrial Septal Defect

    In sinus venosus ASD, it shows left axis deviation and a negative P wave in lead III.[symptoma.com] ., Meinertz Th, et al: Echocardiography evaluation of patients suspected for systemic arterial embolism. Lancet 336: 1421 - 1424, 1991.[journals.sagepub.com] ASDs can allow emboli from the veins to enter the systemic circulation (paradoxical embolization), causing arterial occlusion (eg, stroke).[merckmanuals.com]

  • 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] In an individual with ASD, these emboli can potentially enter the arterial system.[marmur.com] The notched R waves in inferior leads are not so prominent. ECG 11.[metealpaslan.com]

  • Patent Foramen Ovale

    Right-to-left shunting may explain some cases of paradoxical arterial gas embolism (referred to as "undeserved embolism") when classic signs and symptoms are not accompanied[gue.com] In an individual with ASD, these emboli can potentially enter the arterial system.[marmur.com] […] gaseous embolism.[journals.lww.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] Learn More Related Technologies AngioJet Thrombectomy System SYNERGY Everolimus-Eluting Platinum Chromium Coronary Stent System FilterWire EZ Embolic Protection System for[bostonscientific.com] […] wall, thus preventing distal embolization.[doi.org]

  • Acute Myocardial Infarction

    There are hyperacute T waves, most prominent in V1-3. Q waves are forming in V1-3, as well as leads III and aVF.[lifeinthefastlane.com] Learn More Related Technologies AngioJet Thrombectomy System SYNERGY Everolimus-Eluting Platinum Chromium Coronary Stent System FilterWire EZ Embolic Protection System for[bostonscientific.com] Paradoxical emboli can embolize to every systemic artery, including coronary arteries.[pediatrics.aappublications.org]

  • Cardiomyopathy

    […] patients with severe outflow gradients; S3 gallop is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent[emedicine.medscape.com] The resting ECG is unremarkable, except for sinus bradycardia and prominent U waves in some patients.[web.archive.org] Axis deviation (right or left) Conduction abnormalities (P-R prolongation, bundle-branch block) Sinus bradycardia with ectopic atrial rhythm Atrial enlargement Abnormal and prominent[emedicine.medscape.com]

  • Atrial Fibrillation

    QRS complexes and prominent repolarization.[ncbi.nlm.nih.gov] (that is, non‐CNS) emboli Symptomatic cardio‐embolic arterial occlusions involving areas other than the brain.[dx.doi.org] [This recommendation is from Dabigatran etexilate for the prevention of stroke and systemic embolism in atrial fibrillation (NICE technology appraisal guidance 249).] [2012[nice.org.uk]

  • 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] .-) pulmonary embolism due to trauma (T79.0, T79.1) pulmonary embolism due to complications of surgical and medical care (T80.0, T81.7-, T82.8-) septic (non-pulmonary) arterial[aapc.com] A wave Abnormalities of the chest or lungs, depending on underlying condition causing CP Soft or inaudible heart sounds Right ventricular impulse palpated along left sternal[tele.med.ru]

  • Patent Ductus Arteriosus

    […] of the anomalous systemic arterial supply.[ncbi.nlm.nih.gov] Angiography of the systemic and pulmonary arteries revealed the vessel responsible for the recurrent hemoptysis and pulmonary artery embolization was successfully performed[ncbi.nlm.nih.gov] However, these present several limitations, such as the presence of residual shunts, embolization of coils into the pulmonary tree or peripheral arterial system, presence[scielo.br]

  • Ventricular Aneurysm

    Of course, prominent Q waves also are seen in the same anatomic distribution.[journals.lww.com] Indications for surgery otherwise include clinical manifestations such as refractory, life-threatening tachyarrhythmias, systemic embolization despite appropriate anticoagulation[ncbi.nlm.nih.gov] Anterior leads show Q waves and domed ST segment elevation. Leads V4 to V6 also show negative T waves. Lead aVR shows prominent R waves (Goldberger sign).[metealpaslan.com]

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