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111 Possible Causes for Pulmonary Systolic Murmur, Secondary Pulmonary Hypertension

  • 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[] Hypertensive pulmonary vascular disease associated with patent ductus arteriosus: primary or secondary? Circulation. 1975 ; 52 : 157–161.[] 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[]

  • Large Ventricular Septal Defect

    […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[] Congenital Secondary to acute myocardial infarction (MI) Limited coronary artery disease and hypertension (post-MI) Family history VSD is slightly more common in females than[] […] small left to right shunt is small, if the defect is large, the resistance of blood flow between the two ventricles is small, so is the left-right shunt is large, increased pulmonary[]

  • Left to Right Cardiac Shunt

    PH - Causes and Repairs If a pre-existing disease triggered the PH, doctors call it secondary pulmonary hypertension.[] A syndrome characterized by the reversal of a septal defect-associated left-to-right shunt due to the resulting secondary pulmonary hypertension.[] The key pathological change is increased pulmonary vascular resistance (PVR) and pressure secondary to increased blood flow from the left-to-right shunt.[]

  • Eisenmenger Syndrome

    Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[] Eisenmenger syndrome consists of a congenital communication between the systemic and pulmonary circulation with secondary pulmonary hypertension causing reversal of flow through[] Ejection systolic murmur audible along the left sternal border.[]

  • Atrial Septal Defect

    MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[] We present a middle-aged man with progressive dyspnoea with a successfully closed ASD without pulmonary hypertension caused by elevated right ventricular pressures secondary[] Incidence of secondary pulmonary hypertension in adults with atrial septal or sinus venosus defects. Heart. 1999 ; 82 : 30–33.[]

  • Chronic Right-Sided Congestive Heart Failure

    murmurs could be heard in the pulmonary valve auscultation area; and no pericardial friction sound was apparent.[] .: Sildenafil improves exercise capacity and quality of life in patients with systolic heart failure and secondary pulmonary hypertension .[] Pulmonary veno-occlusive disease 1” Persistent pulmonary hypertension of the newborn 2. Pulmonary hypertension secondary to left heart disease 2.1.[]

  • 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[] hypertension.[] Pulmonary hypertension occurred in one. Six patients are asymptomatic an average of 3.5 years after surgical correction. One patient died of other causes at 18 months.[]

  • Pulmonary Valve Disease

    Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down.[] In mild to moderate pulmonary regurgitation situations, the murmur may be absent.[] A left pulmonary artery aneurysm secondary to pulmonary hypertension. J Cardiovascular Surg 2001; 42:629–632 Google Scholar 26. Moustapha A, Kaushik V, Diaz S, et al.[]

  • 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[] […] failure or pulmonary hypertension, respectively.[] […] valve regurgitation Tricuspid and pulmonary valve regurgitation usually occurs as a secondary phenomenon caused by dilatation of the valve ring secondary to right ventricular[]

  • Ventricular Septal Defect

    In addition to a pansystolic murmur, there may also be a mid/end diastolic murmur mimicking mitral stenosis as well as an ejection systolic murmur mimicking aortic stenosis[] Fixed and irreversible pulmonary hypertension develops, resulting in reversal of the left-to-right shunt to a right-to-left shunt.[] Although heart sounds are normal, a systolic click and a grade iii/iv systolic murmur in the pulmonary area is heard.[]

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