Pulmonary Systolic Murmur: Causes & Reasons

Warning: Do not use in emergencies, if pregnant, if under 18, or as a substitute for a doctor’s advice or diagnosis. Learn more

Possible Causes for Pulmonary Systolic Murmur

Pulmonary Valve Stenosis

Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea. [ncbi.nlm.nih.gov]

Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down. [patient.info]

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 [ncbi.nlm.nih.gov]

Pulmonary Valve Disease

Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down. [patient.info]

In mild to moderate pulmonary regurgitation situations, the murmur may be absent. [symptoma.com]

Clinical assessment of infundibular pulmonary stenosis (PS) reveals a systolic murmur peaking in late systole and well-preserved, but delayed, P 2. [revespcardiol.org]

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 [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]

 diastolic component lost  ejection systolic murmur  Severe PAH  rt to lft shunt  disappearance of the murmur and appearance of differential cyanosis 15. [slideshare.net]

Right Ventricular Outflow Obstruction

Examination revealed an ejection systolic murmur in the pulmonary area. The electrocardiogram showed complete heart block. [onlinejacc.org]

On examination there was a systolic thrill and a loud ejection murmur in the pulmonary area. [heart.bmj.com]

Statistics from Altmetric.com A 27 year old banker was referred by his general practitioner with constitutional symptoms and a murmur. [heart.bmj.com]

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. [medvin2u.net]

Examination revealed central cyanosis, clubbing and a harsh grade IV/VI ejection systolic murmur at the pulmonary area. [scitechnol.com]

Thrill on palpation and mid-systolic murmur on auscultation were evident in the pulmonary area. [bmcgastroenterol.biomedcentral.com]

Eisenmenger Syndrome

Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock. [remedyland.com]

Ejection systolic murmur audible along the left sternal border. [patient.info]

Right ventricular heave with palpable, loud pulmonary component of the second heart sound. Loud second heart sound with a narrow split. [patient.info]

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 [medical-dictionary.thefreedictionary.com]

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 [academic.oup.com]

[…] artery and right hilum, displacing heart to left, simulating cardiomegaly Associations ASD, scoliosis; it may cause mild pulmonary vein obstruction and dilation, evoking [medical-dictionary.thefreedictionary.com]

Right-Sided Endocarditis

Increased flow across the pulmonary or aortic valve causes a midsystolic crescendo-decrescendo (ejection systolic) murmur. [msdmanuals.com]

Murmurs Most left-to-right shunts and obstructive lesions cause systolic murmurs. [msdmanuals.com]

Systolic murmurs and thrills are most prominent at the surface closest to their point of origin, making location diagnostically helpful. [msdmanuals.com]

Carcinoid Tumor

In such patients, physical examination usually reveals a systolic murmur along the left sternal edge, produced by tricuspid regurgitation; concomitant murmurs of pulmonary [doi.org]

Pulmonary Atresia

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]

murmur at lower left sternal border, loud S2 Diagnostics Echocardiography : ( confirmatory test ): single overriding great vessel arising from the heart Pulse oximetry : [amboss.com]

↓ SpO 2 ECG : signs of cardiomegaly Chest x-ray : ↑ pulmonary vascular markings, right aortic arch ;, no pulmonary artery Treatment Without treatment, 85% of patients with [amboss.com]

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 [amboss.com]

(harsh, long crescendo-decrescendo systolic ejection murmur along the left sternal border). [cancertherapyadvisor.com]

Systolic murmur with point of maximal intensity over the second left ICS, sternal border Diagnostics Echocardiography : confirmatory test ; assessment of severity of stenosis [amboss.com]

Liver Metastasis

BACKGROUND: Liver metastasis is common in patients with colorectal cancer (CRC), and is correlated with poor outcome. MicroRNAs (miRNAs) are small non-coding RNAs involved in cancer development and progression, but their role in CRC liver metastasis has not been extensively investigated. RESULTS: Thirteen miRNAs[…] [ncbi.nlm.nih.gov]

Malignant Carcinoid Syndrome

Oncol Lett. 2017 Apr; 13(4): 2373–2376. This article has been cited by other articles in PMC. Abstract A carcinoid tumor of the pancreas (CTP) is a rare pancreatic neoplasm, and usually presents with carcinoid syndrome (CS). CS consists of the classic symptom triad of cutaneous flushing, diarrhea and valvular[…] [ncbi.nlm.nih.gov]

Congenital Pulmonary Valve Stenosis

Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea. [ncbi.nlm.nih.gov]

Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down. [patient.info]

Systolic Murmurs - Pulmonary Stenosis You are listening to a typical example of the murmur caused by pulmonary valve stenosis. [med.ucla.edu]

Atrioventricular Septal Defect

Murmurs • Pulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur [slideshare.net]

Typically, pulmonary valve stenosis has an associated systolic ejection click, the murmur of pulmonary valve stenosis tends to be more harsh than the systolic murmur associated [clinicaladvisor.com]

[…] palpable pulmonary artery pulsations • Ejection systolic flow murmur • Prominent right ventricular impulse • Cyanosis and clubbing (severe cases) • Exertional dyspnea • Patients [encyclopedia.lubopitko-bg.com]

Pulmonary Branch Stenosis

Abstract Transient systolic murmurs in neonates and premature infants due to mild left (LPA) and right (RPA) pulmonary branch stenosis is recognized but follow up studies [ncbi.nlm.nih.gov]

[…] of the pulmonary arteries that manifests on physical exam as a systolic ejection murmur in infants. [pedclerk.bsd.uchicago.edu]

[…] arteriopathy 肺動脈上行大動脈起始[症] origin of pulmonary artery from ascending aorta 肺動脈性収縮期雑音 pulmonic systolic murmur 肺動脈性肺高血圧[症] pulmonary arterial hypertension (PAH) 肺動脈楔入圧 pulmonary [j-circ.or.jp]

Pulmonary Valve Insufficiency

Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down. [patient.info]

usually best heard along the third or fourth intercostal spaces adjacent to the left sternal border; may be accentuated with inspiration When the pulmonary artery systolic [echocardiology.org]

Ejection systolic murmur along the left upper edge of the sternum. Pulmonary ejection click. Delayed second heart sound with severe stenosis. [patient.info]

Lutembacher Syndrome

Systolic murmurs: A pulmonary flow murmur due to increased flow across the pulmonic valve. Tricuspid regurgitation: lower left parasternal area. [patient.info]

There was an ejection systolic murmur over the pulmonary area with no radiation or respiratory variation. [hindawi.com]

Clinical examination revealed hyperdynamic rigs ventricle, ejection systolic murmur in pulmonary area, 2nd sound widely split and fixed with moderate accentuation of pulmonic [jpgmonline.com]

Congenital Pulmonary Valve Insufficiency

Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down. [patient.info]

About half of patent ductus arteriosus murmurs in children are not truly continuous and many are only systolic. [ncbi.nlm.nih.gov]

Typically, the murmur occurs in severe pulmonary hypertension when the pulmonary artery systolic pressure is more than 60 mm Hg. [emedicine.medscape.com]

Ostium Primum Atrial Septal Defect

Chest auscultation classically reveals an ejection systolic murmur heard at the left upper sternal border, attributed to increased flow across the pulmonary valve rather than [radiopaedia.org]

Ostium Secundum Atrial Septal Defect

When blood flow across the pulmonic valve is increased, a mid-systolic pulmonary ejection murmur may be heard. [lecturio.com]

Although heart sounds are normal, a systolic click and a grade iii/iv systolic murmur in the pulmonary area is heard. [escardio.org]

Acyanotic Congenital Heart Disease

[…] aorta -Pulmonary stenosis => systolic murmur common -RVH "Tet" spell is associated with what and does it look like? [quizlet.com]

loudest at the LLSB, ± systolic thrill ± apical diastolic rumble with large shunt With large VSD and pulmonary hypertension, S 2 may be narrow Small VSD: Normal Medium VSD [unboundmedicine.com]

Systolic ejection murmur Chest X-ray shows cardiomegaly with prominent pulmonary vasculature and a prominent PA bulb. [differencebetween.com]

Atrial Septal Defect 9

Chest auscultation classically reveals an ejection systolic murmur heard at the left upper sternal border, attributed to increased flow across the pulmonary valve rather than [radiopaedia.org]

Dilatation of the Pulmonary Artery

Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down. [patient.info]

A pulmonic systolic murmur was constantly present. The roentgenogram showed various degrees of dilatation of the pulmonary artery in the presence of normal heart size. [circ.ahajournals.org]

• Pulmonic stenosis without VSD= 8% of all CHD • Mostly asymptomatic • When symptomatic, cyanosis and heart failure • Loud systolic ejection murmur • Cor pulmonale • Rare [learningradiology.com]

Pulmonary Artery Stenosis

Systolic Murmurs - Pulmonary Stenosis You are listening to a typical example of the murmur caused by pulmonary valve stenosis. [med.ucla.edu]

For further evaluation of the systolic murmur, agitated saline contrast echocardiography was performed. [ncbi.nlm.nih.gov]

[…] of the pulmonary arteries that manifests on physical exam as a systolic ejection murmur in infants. [pedclerk.bsd.uchicago.edu]

Atrial Septal Defect

There is further turbulent flow into the pulmonary artery causing the systolic murmur. [easyauscultation.com]

Additional murmurs that may be auscultated include: Mid-systolic pulmonary flow or ejection murmur, noted in larger left-to-right shunts A low-pitched diastolic murmur, which [journals.lww.com]

Persistent Truncus Arteriosus

Auscultation is completed by a mild or intense systolic murmur along the left sternal border. A mid-diastolic mitral flow murmur can also be noted. [symptoma.com]

[…] hypertension complete mixing occurring at level of the great vessel right-to-left shunting of blood Cyanosis presents at birth Heart failure may occur within weeks Systolic [en.wikipedia.org]

Patients present with mild cyanosis, significant pulmonary overcirculation, and heart failure; a grade 2 to 4/6 systolic murmur is audible along the left sternal border and [merckmanuals.com]

Mitral Papillary Muscle Rupture

In each case severe mitral regurgitation was suggested by the sudden appearance of a systolic murmur followed by progressive congestive heart failure. [nejm.org]

A systolic murmur was noted and an urgent transoesophageal echocardiogram was performed (top, transgastric view; MV, mitral valve; LV, left ventricle; LA, left atrium). [heart.bmj.com]

Among the signs, we detected the development of a systolic cooing murmur (grade 3/6 over the mitral valve area), radiating toward the axilla. [revespcardiol.org]

Congenital Mitral Stenosis

[…] problems suggesting pulmonary edema; (2) systolic or diastolic murmurs, occurring together or individually, heard loudest at the apex; and (3) electrocardiographic and roentgenologic [pediatrics.aappublications.org]

Severely affected infants have CHF with gross pulmonary edema Signs Systolic diastolic murmur, redistribution of pulmonary vascularity, cardiac enlargement, LA enlargement [powershow.com]

murmur that accentuates in inspiration at the lower left sternal border. [rjmatthewsmd.com]

Branch Pulmonary Artery Stenosis

[…] of the pulmonary arteries that manifests on physical exam as a systolic ejection murmur in infants. [pedclerk.bsd.uchicago.edu]

Functional or physiologic PPS is a common cause of a systolic murmur in infants. [emedicine.medscape.com]

[…] decreases with inspiration, ejection systolic murmur in the pulmonary area heard in the ending of mid systole increasing in intensity during inspiration. [45] In severe stenosis [wikidoc.org]