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307 Possible Causes for Pulmonary Systolic Murmur

  • Pulmonary Valve Stenosis

    Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[] Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down.[] 1997), pulmonary valvuloplasty was considered in 22 adult patients [8 men, 14 women; mean age 28.0 years /- standard deviation (SD) 10.3; range 16-46 years] with congenital pulmonary[]

  • Pulmonary Valve Disease

    Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down.[] A harsh SYSTOLIC ejection murmur is heard in the pulmonary area (over the left costal boarder) What are the main physiological findings in pulmonary valvular stenosis?[] In mild to moderate pulmonary regurgitation situations, the murmur may be absent.[]

  • Right Ventricular Outflow Obstruction

    Examination revealed an ejection systolic murmur in the pulmonary area. The electrocardiogram showed complete heart block.[] On examination there was a systolic thrill and a loud ejection murmur in the pulmonary area.[] Statistics from A 27 year old banker was referred by his general practitioner with constitutional symptoms and a murmur.[]

  • Straight Back Syndrome

    […] a harsh late systolic ejection murmur; it is asymptomatic but may be misinterpreted by the examiner, causing an otherwise healthy person to become a cardiac 'cripple' straight[] Cardiac auscultation revealed a moderately loud, grade 3/6 systolic ejection murmur at the left sternal border and accentuated but physiologic splitting of the second heart[] […] artery and right hilum, displacing heart to left, simulating cardiomegaly Associations ASD, scoliosis; it may cause mild pulmonary vein obstruction and dilation, evoking[]

  • Patent Ductus Arteriosus

    Course and Complications  Ejection systolic murmur at birth (due to pulmonary hypertension)  continuous murmur after a few weeks  Development of Pulmonary arterial hypertension[] The murmur may be accentuated in systole. Typically, the murmur is loudest at the left upper chest.[]  diastolic component lost  ejection systolic murmur  Severe PAH  rt to lft shunt  disappearance of the murmur and appearance of differential cyanosis 15.[]

  • Eisenmenger Syndrome

    Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[] Ejection systolic murmur audible along the left sternal border.[] Right ventricular heave with palpable, loud pulmonary component of the second heart sound. Loud second heart sound with a narrow split.[]

  • Trilogy of Fallot

    Systolic thrill and murmur are maximal in third or fourth left parasternal area. 2. Systolic murmur is long, and is not preceded by any ejection click. 3.[] Examination revealed central cyanosis, clubbing and a harsh grade IV/VI ejection systolic murmur at the pulmonary area.[] Thrill on palpation and mid-systolic murmur on auscultation were evident in the pulmonary area.[]

  • Large Ventricular Septal Defect

    […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[] , 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[] Its clinical characteristics also include a systolic murmur and a palpable thrill on both sides of the chest, dyspnea and poor exercise tolerance.[]

  • Right Heart Endocarditis

    Increased flow across the pulmonary or aortic valve causes a midsystolic crescendo-decrescendo (ejection systolic) murmur.[] Murmurs Most left-to-right shunts and obstructive lesions cause systolic murmurs.[] Systolic murmurs and thrills are most prominent at the surface closest to their point of origin, making location diagnostically helpful.[]

  • Left to Right Cardiac Shunt

    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[] (harsh, long crescendo-decrescendo systolic ejection murmur along the left sternal border).[] Systolic murmur with point of maximal intensity over the second left ICS , sternal border Diagnostics Echocardiography : confirmatory test ; assessment of severity of stenosis[]

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