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101 Possible Causes for Pulmonary Systolic Murmur, Right Atrial Hypertrophy

  • Eisenmenger Syndrome

    […] shunt (e.g., atrial septal defect, ventricular septal defect, patent ductus arteriosus) Electrocardiogram Right atrial enlargement Right ventricular hypertrophy Chest X-ray[] Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[] Ejection systolic murmur audible along the left sternal border.[]

  • Large Ventricular Septal Defect

    In those with pulmonary hypertension, right axis deviation, right ventricular hypertrophy (RVH) and right atrial hypertrophy (RAH) may be seen.[] […] 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[]

  • Pulmonary Valve Stenosis

    ECG: may show right ventricular hypertrophy, right atrial hypertrophy and right axis deviation.[] Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[] Pathophysiology [ edit ] When pulmonic stenosis (PS) is present, resistance to blood flow causes right ventricular hypertrophy.[]

  • Trilogy of Fallot

    The trilogy of Fallot is a congenital heart disease consisting of the following defects: pulmonary valve stenosis, right ventricular hypertrophy and atrial septal defect.[] 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.[] Fallot - atrial septal defect associated with pulmonic stenosis and right ventricular hypertrophy.[]

  • Left to Right Cardiac Shunt

    […] elevated pulmonary vascular resistance, and right ventricular hypertrophy; supraventricular tachycardia, atrial flutter, or atrial fibrillation may also occur.[] Persistent moderate-to-large ASDs result in large shunts, leading to right atrial and right ventricular volume overload.[] Small atrial communications often close spontaneously, but larger ones do not, causing right atrial and ventricular overload and ultimately pulmonary artery hypertension,[]

  • Cor Pulmonale

    With development of cor pulmonale, the following additional changes are seen: Right atrial enlargement (P pulmonale) Right ventricular hypertrophy 3.[] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[] Right heart failure Symptoms: predominant short of breath,palpitation, inappetence,nausea Signs: cyanosis,tachycardia,arrhythmia,subxiphoid systolic murmur or even diastolic[]

  • Atrial Septal Defect

    ECG Right axis deviation in 85% of cases Left axis deviation and prolonged PR interval seen in ostium primum Right Atrial enlargement 16.[] […] elevated pulmonary vascular resistance, and right ventricular hypertrophy; supraventricular tachycardia, atrial flutter, or atrial fibrillation may also occur.[] There is further turbulent flow into the pulmonary artery causing the systolic murmur.[]

  • Patent Ductus Arteriosus

    In the patient with a large ductus arteriosus and elevated pulmonary artery pressure, signs of right atrial enlargement and biventricular hypertrophy are frequently present[] Course and Complications  Ejection systolic murmur at birth (due to pulmonary hypertension)  continuous murmur after a few weeks  Development of Pulmonary arterial hypertension[] Electrocardiogram The ECG may reveal sinus tachycardia, atrial fibrillation, left ventricular hypertrophy, as well as a left atrial enlargement in individuals with medium[]

  • Chronic Right-Sided Congestive Heart Failure

    […] gallop’ (occurs before S1 and is due to blood entering the ventricle during atrial systole hitting the stiff hypertrophied ventricular wall 1,2 pulsus alternans 1,2 right-predominant[] murmurs could be heard in the pulmonary valve auscultation area; and no pericardial friction sound was apparent.[] 1,2 other organ dysfunction 1,2 added heart sounds 1,2 S3 ‘ventricular gallop’ (occurs after S2 and is due to blood slushing around in a large dilated ventricle) 1,2 S4 ‘atrial[]

  • Ostium Primum Atrial Septal Defect

    However, persistent, large shunts result in right atrial and ventricular volume overload, pulmonary artery hypertension, elevated pulmonary vascular resistance, and right[] MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[] 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[]

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