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46 Possible Causes for Pulmonary Systolic Murmur, Renal Infarction, Right Heart Endocarditis

  • Right Heart Endocarditis

    Systemic infarcts: emboli Systemic abscess: infected emboli Aneurysms: infected emboli Renal failure: emboli, immune mediated glomerulonephritis Back to top[pathologyoutlines.com] Increased flow across the pulmonary or aortic valve causes a midsystolic crescendo-decrescendo (ejection systolic) murmur.[msdmanuals.com] Our study showed that surgical intervention and concomitant left heart endocarditis are positive and negative prognostic factors for outcomes after right heart endocarditis[ncbi.nlm.nih.gov]

  • Acute Myocardial Infarction

    Renal hypoperfusion and sympathetic activation stimulate renin release, which leads to increased plasma levels of angiotensin II and aldosterone that enhance renal retention[cvpharmacology.com] Diagnosis is made by detection of a new systolic murmur, and by the documentation of giant "V-waves" on the pulmonary capillary wedge tracing.[brown.edu] Emboli - from left sided mural thrombosis, vegetative endocarditis, or paradoxic emboli from the right side of heart through a patent foramen ovale.[library.med.utah.edu]

  • Infective Endocarditis

    Computed tomography (CT) revealed renal infarction. Nine days after admission, CT showed hemorrhagic cerebral infarction in the right frontal lobe.[ncbi.nlm.nih.gov] […] emboli is eventually present in 87% of cases. 95,197 Signs of tricuspid insufficiency (systolic regurgitant murmur louder with inspiration, large V waves, or a pulsatile[doi.org] Ross Right heart endocarditis: Clinical and echocardiographic features Am Heart J, 107 (1984), pp. 759 [2.] J.M. Gatell, M. Sasal, J.M. Miró, J. Mensa, L. Zamora, J.[archbronconeumol.org]

  • Bacterial Endocarditis

    We present a rare case of bacterial endocarditis of the aortic valve complicated by intracranial haemorrhage, splenic and renal infarcts.[ncbi.nlm.nih.gov] […] emboli is eventually present in 87% of cases. 95,197 Signs of tricuspid insufficiency (systolic regurgitant murmur louder with inspiration, large V waves, or a pulsatile[doi.org] Key points about bacterial endocarditis Bacterial endocarditis is an infection of the heart’s inner lining or heart valves.[saintlukeshealthsystem.org]

  • Diabetes Mellitus

    (0.74, 0.63 to 0.87), stroke (0.77, 0.65 to 0.91), and end stage renal disease (0.82, 0.71 to 0.94).[ncbi.nlm.nih.gov] […] edema and/or shock; a systolic murmur may not always be appreciated.[doi.org] Primary outcomes were total mortality; total serious adverse events; myocardial infarction, stroke, congestive heart failure and end-stage renal disease.[ncbi.nlm.nih.gov]

  • Paradoxical Embolism

    Cardiac auscultation revealed a systolic murmur at the left lower sternal border and a splitting of the second heart sound in the pulmonary area.[romanianjournalcardiology.ro] The transthoracic echocardiogram showed dilated right heart chambers ( Figure 3 ), abnormal tricuspid valve with myxomatous asymmetric appearance and tethering of the tricuspid[elsevier.pt] Hypertension was considered secondary to renal infarction caused by paradoxical embolism through PFO.[ncbi.nlm.nih.gov]

  • Ventricular Aneurysm

    The scan revealed an extensive right renal infarction with a filling defect in the main renal artery, proximal to its trifurcation (Figure 1).[revistanefrologia.com] […] apical murmur (grade III out of VI) and normal pulmonary sounds on auscultation.[tmj.ro] See the section on Endocarditis for more information. Congenital Heart Defect ID sheet Adults with VSD What is it?[heart.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] Indications The major indications for VSD closure in adults areleft-to-right shunt leading to right and left ventricularoverload, prevention of endocarditis, heart failure[citoday.com] (harsh, long crescendo-decrescendo systolic ejection murmur along the left sternal border).[cancertherapyadvisor.com]

  • Arterial Embolism

    On physical examination a systolic heart murmur over the pulmonary valve, and signs of right heart failure can be found.[scielo.org.co] The heart disease, mitral valvar heart disease (9 patients - 31.0%); infective endocarditis (7- 24.1%); dilated cardiomyopathy (6 - 20.6%); ischemic coronary heart disease[scielo.br] We report a case with a floating thrombus in the right coronary sinus of Valsalva, with complicated peripheral arterial embolism and renal infarct.[ncbi.nlm.nih.gov]

  • Acute Atrial Infarction

    In contrast, in renal infarction and renal transplant rejection there is an increase in the excretion rate from direct renal origin.[journals.lww.com] Diagnosis is made by detection of a new systolic murmur, and by the documentation of giant "V-waves" on the pulmonary capillary wedge tracing.[brown.edu] Emboli - from left sided mural thrombosis, vegetative endocarditis, or paradoxic emboli from the right side of heart through a patent foramen ovale.[library.med.utah.edu]