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109 Possible Causes for Pulmonary Systolic Murmur, Right Axis Deviation

  • 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]

  • Large Ventricular Septal Defect

    In those with pulmonary hypertension, right axis deviation, right ventricular hypertrophy (RVH) and right atrial hypertrophy (RAH) may be seen.[patient.info] […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] , 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[quizlet.com]

  • Right Ventricular Outflow Obstruction

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

  • Cor Pulmonale

    Right axis deviation and low voltage may be noted in patients with pulmonary emphysema.[health.am] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info] Right heart failure Symptoms: predominant short of breath,palpitation, inappetence,nausea Signs: cyanosis,tachycardia,arrhythmia,subxiphoid systolic murmur or even diastolic[slideshare.net]

  • Eisenmenger Syndrome

    Diagnostic methods Diagnosis is based on the clinical features, pulse oximetry findings, an abnormal electrocardiogram (right axis deviation, right ventricular hypertrophy[orpha.net] 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]

  • Pulmonary Embolism

    P pulmonale, right and left axis deviation, S 1 S 2 S 3 and S 1 Q 3 T 3 patterns, low voltage and clockwise rotation were specific, but not sensitive for APE.[ncbi.nlm.nih.gov] Signs of pulmonary hypertension, such as palpable impulse over the second left intercostal space, loud P 2, right ventricular S 3 gallop, and a systolic murmur louder on inspiration[emedicine.medscape.com] axis deviation, right bundle branch block (RBBB), or deep S-waves in I with Q waves in III and inverted T waves in III ('S1,Q3,T3' pattern).[patient.info]

  • Ostium Primum Atrial Septal Defect

    In primum defects left axis deviation is seen in most patients with an axis of -30 degrees and very few patients have right axis deviation.[en.wikipedia.org] MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[slideshare.net] In Primum defects left axis deviation is seen in most patients with an axis of -30 degrees and very few patients have right axis deviation.[ipfs.io]

  • Anterior Myocardial Infarction

    […] precordial R waves) Pulmonary emphysema and cor pulmonale (loss of R waves V1-3 and/or inferior Q waves with right axis deviation) Left anterior fascicular block (may see[ecg.utah.edu] Third and fourth heart sound, systolic murmur if mitral regurgitation or ventricular septal defect develops, pericardial rub.[patient.info] Note pathologic Q-waves in V1-4, late R wave in V1, wide S waves in lead I, and left axis deviation (-80 degrees).[ecg.utah.edu]

  • Acute Cor Pulmonale

    Rightward shift of the QRS axis towards 90 degrees (vertical axis) or beyond ( right axis deviation ).[lifeinthefastlane.com] […] and pulmonic insufficiency murmurs, and later, distended jugular veins, hepatomegaly, and lower-extremity edema.[merckmanuals.com] Other ECG findings in PE include right bundle-branch block, right axis deviation, atrial fibrillation, and T-wave changes ( 2, 3 ).[ispub.com]

  • Pulmonary Hypertension

    Surface electrocardiogram showed right atrial and ventricular overload with right axis deviation.[ncbi.nlm.nih.gov] Clinical signs include right ventricular (parasternal) heave, a loud pulmonary second heart sound, murmur of pulmonary regurgitation, systolic murmur of tricuspid regurgitation[patient.info] These signs include the following: Right-axis deviation R/S ratio greater than 1 in lead V1 Right atrial enlargement as indicated by an increased P-wave amplitude in lead[emedicine.com]

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