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11 Possible Causes for Pulmonary Hypertension, Systolic Thrill at Lower Left Sternal Border

  • Patent Ductus Arteriosus

    Invasively evaluated hemodynamic measurements were consistent with severe shunting, which resulted in precapillary pulmonary hypertension (PH).[ncbi.nlm.nih.gov] This is the case of a young female who was seen at our adult congenital heart disease and pulmonary hypertension service (Royal Brompton Hospital, London, UK) at the age of[ncbi.nlm.nih.gov] Larger, untreated defects could cause: High blood pressure in the lungs (pulmonary hypertension).[mayoclinic.com]

  • Ventricular Septal Defect

    3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[msdmanuals.com] hypertension.[ncbi.nlm.nih.gov] Muscular defects can be heard along the lower left sternal border and may vary in intensity as the defect size changes with muscular contraction throughout systole.[circ.ahajournals.org]

  • Aortic Valve Stenosis

    Abstract To assess the value of computed tomography (CT) for non-invasive detection of pulmonary hypertension (PH) in patients with severe aortic stenosis undergoing transcatheter[ncbi.nlm.nih.gov] hypertension) The results of aortic valve replacement are often excellent.[nlm.nih.gov] hypertension; Transcatheter aortic valve implantation[ncbi.nlm.nih.gov]

  • Large Ventricular Septal Defect

    3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[merckmanuals.com] A 16-month-old girl developed severe pulmonary hypertension after closure of a large ventricular septal defect.[ncbi.nlm.nih.gov] Abstract A total of 74 patients under 24 months of age with large ventricular septal defects (VSD) and pulmonary hypertension were subjected to surgical treatment from 1969[ncbi.nlm.nih.gov]

  • Tricuspid Valve Insufficiency

    In severe TR, a right jugular venous thrill may be palpable, as may systolic hepatic pulsation and an RV impulse at the left lower sternal border.[merckmanuals.com] METHODS: A cross-sectional study was performed of consecutive transthoracic echocardiographic studies of patients with pre-capillary pulmonary hypertension (PH).[ncbi.nlm.nih.gov] You’re more likely to experience symptoms if you also have pulmonary hypertension or high blood pressure.[healthline.com]

  • Right Ventricular Hypertrophy

    3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[merckmanuals.com] Mitral stenosis impedes left atrial emptying, increases left atrial and pulmonary venous pressure, and thus causes pulmonary hypertension.[ncbi.nlm.nih.gov] The utility of (99m)Tc-tetrofosmin myocardial SPECT for assessment of pulmonary hypertension and right ventricular thickness has not been well studied.[ncbi.nlm.nih.gov]

  • Biventricular Hypertrophy

    3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[msdmanuals.com] The proband was a 21-year-old man who presented clinically with palpitations, chest tightness, pulmonary hypertension, and limited exercise tolerance.[ncbi.nlm.nih.gov] Del rosario 2 2 Artrial septial defect with pulmonary hypertension in children? Dr. Nestor Del rosario Dr.[healthtap.com]

  • Tetralogy of Fallot

    Systolic thrill at the lower left sternal border. Aortic ejection click.[patient.info] Total correction was made in 34 years of life, six months after catheterization, which indicated malignant pulmonary hypertension.[ncbi.nlm.nih.gov] […] causes of pulmonary hypertension.[ncbi.nlm.nih.gov]

  • Apical Myocardial Infarction

    This murmur is loudest along the lower left sternal border and is associated with a palpable parasternal systolic thrill. RV and LV S3 gallops are common.[emedicine.medscape.com] Even though the mitral regurgitation was now grade I, with grade II tricuspid regurgitation and mild pulmonary hypertension (systolic pulmonary arterial pressure – SPAP 40mmHg[tmj.ro] 9 ] Chest X–ray can bring helpful information in PE when it shows features of pulmonary hypertension.[ncbi.nlm.nih.gov]

  • Septic Embolus

    A systolic thrill was palpable at the lower left sternal border. Localized crackles were audible at the base of the right lung.[comprped.com] […] but no pulse or (b) acute cor pulmonale (dilation of right side of heart) due to local increased resistance to blood flow, pulmonary hypertension and right sided failure[pathologyoutlines.com] Eleven patients had pulmonary hypertension, as determined by the tricuspid valve regurgitation velocity (41–67 mm Hg).[journals.lww.com]

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