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90 Possible Causes for Pulmonary Systolic Murmur, Right Bundle Branch Block, Right Heart Endocarditis

  • Pulmonary Valve Stenosis

    Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[ncbi.nlm.nih.gov] Right ventricular hypertrophy Heart failure Irregular heartbeats Pulmonary valve stenosis is diagnosed in the childhood, but if the disease is mild, it remains unnoticed.[gleneaglesglobalhospitals.com] Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down.[patient.info]

  • Atrial Septal Defect

    MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[slideshare.net] The impact of incomplete right bundle branch block (IRBBB) and ASD diameter (  5 and KEYWORDS: Crochetage on R wave; Inferior leads; Pediatric; Secundum atrial septal defect[ncbi.nlm.nih.gov] Rupture of SVA (with progressive heart failure and left-to-right shunting or endocarditis) is the main cause of death and rarely occurs before age 20 years in congenital SVA[emedicine.medscape.com]

  • Acute Myocardial Infarction

    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] BACKGROUND New-onset extreme right axis deviation and right bundle branch block (RBBB) are rare during acute myocardial infarction (AMI), and has only been reported in several[ncbi.nlm.nih.gov] 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]

  • 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] His chest X-ray showed cardiomegaly and enlargement of the left pulmonary hilum, and an electrocardiogram revealed sinus tachycardia with incomplete right bundle branch block[elsevier.pt] It is important to correct PDA because it can lead to congestive heart failure and a disease of the right side of the heart (called cor pulmonale) later in life.[texasheart.org]

  • Large Ventricular Septal Defect

    […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] bundle-branch block; in large VSDs, it shows left and right ventricular hypertrophy, suggesting pulmonary hypertension.[quizlet.com] […] failure Infective endocarditis (bacterial infection of the heart) Pulmonary hypertension (high blood pressure in the lungs) leading to failure of the right side of the heart[ufhealth.org]

  • Eisenmenger Syndrome

    Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[remedyland.com] Precordial signs of ES are loud (often palpable) second heart sound and right ventricular heave.[orpha.net] Ejection systolic murmur audible along the left sternal border.[patient.info]

  • Tetralogy of Fallot

    Single S2 - pulmonary valve closure not heard. Systolic ejection murmur - varies in intensity inversely with the degree of RVOT obstruction.[patient.info] An electrocardiogram showed prolonged QRS duration (199 msec) with a complete right bundle branch block and an echocardiograph demonstrated that her right ventricle was highly[ncbi.nlm.nih.gov] , an infection of the inner layer of the heart high pressure in the right side of the heart that can cause an irregular heartbeat (an arrhythmia ) Children whose TOF isn't[kidshealth.org]

  • 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] The electrocardiogram showed incomplete right bundle branch block and a vertical QRS axis.[academic.oup.com] ) - Arrhythmogenic right ventricular dysplasia Electrical conduction system of the heart Heart block : AV block ( First degree, Second degree, Third degree ) - Bundle branch[wikidoc.org]

  • Right Ventricular Outflow Obstruction

    Examination revealed an ejection systolic murmur in the pulmonary area. The electrocardiogram showed complete heart block.[onlinejacc.org] […] and incomplete right bundle branch block.[ncbi.nlm.nih.gov] Complications Complications of pulmonary stenosis include the following: Increasing severity of stenosis Endocarditis Significant residual pulmonary regurgitation and right[emedicine.medscape.com]

  • Ostium Primum Atrial Septal Defect

    MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[slideshare.net] When a person is suspected of having an ASD based on the findings of an incomplete right bundle branch block with a rSr' or rSR', the frontal plane QRS should be examined.[en.wikipedia.org] The leading causes of death in adults are congestive heart failure & infective endocarditis. DX: Echocardiogram quantifies L. ventricular & atrial size.[enotes.tripod.com]

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