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18 Possible Causes for Right Heart Endocarditis, Systolic Thrill at Lower Left Sternal Border

  • Patent Ductus Arteriosus

    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] If a PDA is small, the doctor may not treat it right away. Antibiotics will be given in some cases to prevent infection of the heart until the PDA is closed.[nationwidechildrens.org] PDA also increases the risk of endocarditis, a life-threatening infection of the lining that covers the heart chambers, valves, and main arteries.[texasheart.org]

  • Tetralogy of Fallot

    Systolic thrill at the lower left sternal border. Aortic ejection click.[patient.info] , 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] heart failure Atrial and ventricular arrhythmias Sudden death Endocarditis Septic central emboli See Surgical Complications in patients with repaired tetralogy of Fallot.[emedicine.com]

  • Large Ventricular Septal Defect

    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] […] 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] […] to the electrical conduction system of the heart during surgery (causing an irregular or slow heart rhythm) Delayed growth and development ( failure to thrive in infancy) Heart[medlineplus.gov]

  • Ventricular Septal Defect

    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] Echocardiography revealed a vegetation occupying the right-side heart.[ncbi.nlm.nih.gov] Muscular defects can be heard along the lower left sternal border and may vary in intensity as the defect size changes with muscular contraction throughout systole.[circ.ahajournals.org]

  • Tricuspid Valve Insufficiency

    In severe TR, a right jugular venous thrill may be palpable, as may systolic hepatic pulsation and an RV impulse at the left lower sternal border.[merckmanuals.com] Pulmonary hypertension is usually not present and tricupid regurgitant jet has low velocity. [ 3 ] Other organic causes of tricuspid regurgitation are: right-heart endocarditis[wikiecho.org] […] pathologies, such as right ventricular dilatation, trauma, rheumatic heart disease, or infective endocarditis.[symptoma.com]

  • Apical Myocardial Infarction

    This murmur is loudest along the lower left sternal border and is associated with a palpable parasternal systolic thrill. RV and LV S3 gallops are common.[emedicine.medscape.com] Myocarditis and Endocarditis Endocarditis and myocarditis are driven by inflammation of the heart.[courses.lumenlearning.com] The defect allows oxygen-rich blood from the left ventricle to mix with oxygen-poor blood in the right ventricle.[courses.lumenlearning.com]

  • Septic Embolus

    A systolic thrill was palpable at the lower left sternal border. Localized crackles were audible at the base of the right lung.[comprped.com] […] valves causing endocarditis and setting the stage for later arterial embolization.[ncbi.nlm.nih.gov] Endocarditis in the right chambers of the heart is more common in children with congenital heart disease (CHD), whereas left-sided IE is more common in adult patients with[comprped.com]

  • Right Ventricular Hypertrophy

    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] Ebstein’s anomaly frequently presents as right heart failure in children or in early adulthood.[escardio.org] 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]

  • Congenital Absence of Ductus Arteriosus

    Physical Signs Systolic thrill at the lower and middle left sternal border Loud single S2 Loud systolic ejection murmur at the lower left sternal border With increasing right[rcemlearning.co.uk] […] or lung transplant with concurrent VSD repair if Eisenmenger's reaction has occurred Complications Arrhythmias Right heart failure Eisenmenger's reaction Infective endocarditis[amboss.com] PDAs are also closed in order to guard against infection of the interior lining of the heart (bacterial endocarditis, or BE).[pted.org]

  • Idiopathic Neonatal Atrial Flutter

    A Decreased or absent femoral pulses B Systolic machinery-type murmur C Holosystolic murmur at the lower left sternal border D Thrill in the carotid arteries E Cyanosis at[quizlet.com] Right heart disease may present as tricuspid valve disease, hypertension, or pulmonary embolism.[quizlet.com] A holosystolic murmur at the lower left sternal border is most commonly seen with a ventricular septal defect.[quizlet.com]

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