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352 Possible Causes for Right Axis Deviation, Systolic Thrill at Lower Left Sternal Border

  • Patent Ductus Arteriosus

    What is it? Patent ductus arteriosus (pronounced pay-tent duck-tus are-teer-e-o-sus) happens when a blood vessel fails to close after a baby is born. The ductus arteriosus is the temporary blood vessel that allows blood to bypass a baby's lungs before it is born. It is a blood vessel that joins the pulmonary[…][web.archive.org]

  • 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] 3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[msdmanuals.com] In cases of elevated pulmonary artery pressure, right axis deviation, right ventricular hypertrophy, and right atrial enlargement may be evident on ECG.[circ.ahajournals.org]

  • Right Ventricular Hypertrophy

    Example 4 Right ventricular hypertrophy in a patient with arrhythmogenic right ventricular cardiomyopathy (ARVC): Right axis deviation.[lifeinthefastlane.com] 3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[merckmanuals.com] The ECG shows right axis deviation and right ventricular hypertrophy. Click here for a more detailed ECG ECG 8.[metealpaslan.com]

  • Biventricular Hypertrophy

    axis deviation.[tititudorancea.com] 3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[msdmanuals.com] In the presence of LVH – Additional signs indicating RVH : Right atrial enlargement. Right axis deviation. Tall biphasic QRS complexes in multiple leads.[lifeinthefastlane.com]

  • 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] 3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[merckmanuals.com] Small VSDs typically produce murmurs ranging from a grade 1 to 2/6 high-pitched, short systolic murmur (due to tiny defects that actually close during late systole) to a grade[merckmanuals.com]

  • Asthma

    Electrocardiographic signs of right heart strain such as right axis deviation, clockwise rotation, and evidence of right ventricular hypertrophy may be observed in acute,[ncbi.nlm.nih.gov]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Chronic Obstructive Pulmonary Disease

    […] ventricular hypertrophy right axis deviation dominant R wave in V1 with an amplitude 7mm often associated with "P pulmonale" ( right atrial enlargement ) multifocal atrial[radiopaedia.org] deviation 110 without right bundle branch block; or some combination of these.[merckmanuals.com] […] laterally (to V5 or V6) deep S waves in the lateral leads (I, aVL, V5, V6) low QRS voltage amplitude of QRS complexes 5 mm in the limb leads or 10 mm in the precordial leads right[radiopaedia.org]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Cor Pulmonale

    Right axis deviation and low voltage may be noted in patients with pulmonary emphysema.[health.am] ECG dominant R wave in lead V1 10 defined as an R wave height 7 mm or R/S 1 accompanied by dominant S waves in lead V6 right axis deviation secondary repolarization abnormalities[radiopaedia.org] ECG shows tall, peaked P waves (P pulmonale), right axis deviation, and right ventricular hypertrophy. Chest x-ray: Enlarged right ventricle and pulmonary artery.[health.am]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • 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] 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] Right axis deviation and S 1 Q 3 T 3 pattern were observed in only APE. Low voltage was more frequent in APE and TC. However, the frequencies of these findings were low.[ncbi.nlm.nih.gov]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Recurrent Pulmonary Embolism

    Focal oligemia, cardiomegaly and plump pulmonary arteries on chest X-ray films, right axis deviation, clockwise rotation, ST-segment depression and T-wave inversion on electrocardiograms[ncbi.nlm.nih.gov] Review of EKGs showed a trend of increasing right axis deviation with recovery and recurrences during the previous 9 years and a current incomplete right bundle branch block[ncbi.nlm.nih.gov] […] heart strain), - right axis deviation - s wave (I and aVL) 1.5mm - Q wave in III and aVF - p pulmonale - RBBB CXR: rules out other pathology, focal oligaemia, wedge density[lifeinthefastlane.com]

    Missing: Systolic Thrill at Lower Left Sternal Border

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