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235 Possible Causes for Prominent A-Wave, Systolic Murmur

  • Hypertrophic 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.com] An early peaking, harsh diamond shaped systolic murmur starts at the beginning of systole and ends well before the second heart sound.[easyauscultation.com] Outflow tract obstruction may cause a systolic murmur at the left sternal edge, radiating to the aortic and mitral areas.[patient.info]

  • 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] Clinically, the patient had typical features of PE with chest computed tomography (CT) revealing a Haller index of 4.4 and a grade 2 systolic murmur being heard the loudest[ncbi.nlm.nih.gov]

  • 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] A 40-year-old obese woman was found to have a II/VI systolic murmur that worsened with standing.[ncbi.nlm.nih.gov] […] dysfunction Clinical findings LV and RV failure, sudden death, Cardiomegaly Functional AV valve regurgitation S3 and/or S4 Exertional dyspnea, angina, syncope, sudden death Systolic[merckmanuals.com]

  • 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] […] split) 8.  Dilatation of the ascending aorta  Aortic ejection click – preceeding the conti nuous murmur  Aortic ejection systolic murmur – drowned by the loud continuous[slideshare.net] The murmur may be accentuated in systole. Typically, the murmur is loudest at the left upper chest.[emedicine.medscape.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] Persistent apical systolic murmur suggestive of mitral regurgitation was heard in five patients (42%) after the operation.[ohsu.pure.elsevier.com] The notched R waves in inferior leads are not so prominent. ECG 11.[metealpaslan.com]

  • Mitral Valve Insufficiency

    Inspection of the jugular venous pulsations may reveal a prominent “A wave,” attributable to vigorous atrial contraction or a prominent V wave due to tricuspid regurgitation[healio.com] […] isolated MR, did not differ significantly between pan-systolic and late-systolic murmur groups.[ncbi.nlm.nih.gov] He is in chronic atrial fibrillation (AF), his neck veins are distended with prominent V waves, and he has an enlarged pulsating liver and severe peripheral edema.[onlinejacc.org]

  • 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] On day 2, however, the patient's vital signs deteriorated to a state of shock and systolic murmur appeared at the apical region.[ncbi.nlm.nih.gov] Third and fourth heart sound, systolic murmur if mitral regurgitation or ventricular septal defect develops, pericardial rub.[patient.info]

  • Acute Myocardial Infarction

    Right heart catheterization will show prominent “V waves” in the pulmonary capillary wedge pressure tracing.[healio.com] On day 2, however, the patient's vital signs deteriorated to a state of shock and systolic murmur appeared at the apical region.[ncbi.nlm.nih.gov] Diagnosis is made by detection of a new systolic ejection murmur, often associated with a precordial thrill.[brown.edu]

  • Congestive Heart Failure

    In 893 patients aged from 40 to 102 years, we simultaneously recorded electrocardiogram, phonocardiogram, and jugular venous pulse wave.[ncbi.nlm.nih.gov] […] and diastolic murmurs and radiographic cardiomegaly.[nichiju.lin.gr.jp] Dynamic left ventricular outflow tract obstruction in acute coronary syndromes: an important cause of new systolic murmur and cardiogenic shock.[doi.org]

  • 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] With increasing right ventricular hypertrophy, right ventricular compliance decreases with a resultant increase in end-diastolic pressure and with prominent a waves in the[emedicine.medscape.com]

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