Pulmonary Systolic Murmur: Causes & Reasons

Possible Causes for Pulmonary Systolic Murmur

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]

[…] ejection murmur. [msdmanuals.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]

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]

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]

Liver Metastasis

BACKGROUND: Optimal surgical management for patients with synchronous colorectal cancer liver metastasis is controversial. We provide an analysis of surgical utilization and outcomes for patients presenting with synchronous colon and rectal cancer liver metastasis between simultaneous and staged approaches.[…] [ncbi.nlm.nih.gov]

Malignant Carcinoid Syndrome

BACKGROUND: Somatostatin analogues are the mainstay of therapy for malignant carcinoid syndrome. There is clear evidence that the once monthly intramuscular formulation, Octreotide LAR, controls symptoms of carcinoid syndrome, and recent data also suggests an antitumour effect. There is limited data on prolonged[…] [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]

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]

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]

Lutembacher Syndrome

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

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

Atrial Septal Defect - AHA Journals ; septal defect and in cases of Lutembacher's syndrome,tricuspid atresia, and persistent ..... pulmonary artery the systolic murmur de- [xeeenswu.ga]

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]

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]

17q23.1q23.2 Microdeletion Syndrome

Respiratory Respiratory Distress Syndrome at birth Cardiac Early systolic murmur grade I-II/VI along the left sternal border.No rubs or gallops; Normal Echo at birth; Mild [cureus.com]

During the six week cardiology follow-up, the patient presented with an early systolic, grade I-II/VI murmur along the left sternal border, a normal electrocardiogram (EKG [cureus.com]

and a mild left branch pulmonary stenosis. [cureus.com]

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]

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]

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]

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]

Kashani-Strom-Utley Syndrome

The persistence of a systolic murmur transmitted to the lateral chest wall, after ligation or division of a patent ductus arteriosus, should arouse suspicion of the presence [ahajournals.org]

[…] of pulmonary artery stenosis. [ahajournals.org]

Five of the patients had bilateral pulmonary artery stenosis and four cases involved only the right pulmonary artery. [ahajournals.org]

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]

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]

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]

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]

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]