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15 Possible Causes for Right-Sided Congestive Heart Failure, 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]

  • Tetralogy of Fallot

    Systolic thrill at the lower left sternal border. Aortic ejection click.[patient.info] A patient without cyanosis has a long, loud, systolic murmur with a thrill along the right ventricular outflow tract (RVOT).[patient.info] […] older child with long-standing cyanosis (without surgery) may present with the following signs: Cardiac Right ventricular predominance on palpation or possibly a bulging left[patient.info]

  • 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] Signs And Symptoms When tricuspid regurgitation is severe it can lead to right sided heart failure and right-sided congestion.[myheart.net] FAILURE Right-Sided and Left-Sided Heart Failure and Systemic Congestion: Physical Examination Right-Sided and Left-Sided Heart Failure in Dilated Cardiomyopathy and Pulmonary[euro-libris.ro]

  • Aortic Valve Stenosis

    Because the left atrium is unable to empty adequately, the pulmonary circulation becomes congested. Eventually, right-sided heart failure can develop as well.[medical-dictionary.thefreedictionary.com]

  • 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] Blood returning to the left side of the heart from may back up into the lungs, causing pulmonary congestion, and blood returning the right side of the heart may further back[webmd.com] 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]

  • 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] Because of the extra blood flowing through the heart, the right side of the heart may enlarge, become damaged, and be less able to pump blood effectively.[uwhealthkids.org] Blood returning to the left side of the heart from may back up into the lungs, causing pulmonary congestion, and blood returning the right side of the heart may further back[webmd.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] It’s also known as congestive heart failure because as the right side of the heart loses it strength, blood can back up or become congested.[healthline.com] heart failure: Left ventricular systolic and diastolic heart failure are well-known causes of peripheral edema, right upper quadrant pain from hepatic congestion, and syncope[ncbi.nlm.nih.gov]

  • Acyanotic Congenital Heart Disease

    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] Symptoms depend on the pressure gradient and range from asymptomatic to right-sided congestive heart failure. Patients with mild PS are usually asymptomatic.[hawaii.edu] Auscultatory findings Harsh h olosystolic murmur over the left lower sternal border ; typically louder in small defects Mid- diastolic murmur over cardiac apex Systolic thrill[amboss.com]

  • Mitral Annulus Calcification

    A systolic expansion impulse along the lower left sternal border may be palpable, due to excess filling of the enlarged LA, which pushes the heart anteriorly.[cardiologyforyou.blogspot.com] Signs of right-sided congestive heart failure will be detected in long standing severe cases with CHF and pulmonary hypertension.[cardiologyforyou.blogspot.com] Systolic thrill at the apex is usually detected in patients with significant MR.[cardiologyforyou.blogspot.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] Auscultatory findings Harsh h olosystolic murmur over the left lower sternal border ; typically louder in small defects Mid- diastolic murmur over cardiac apex Systolic thrill[amboss.com] Hypoplastic right heart conditions B ) Congestive heart failure (CHF): Usually, left-sided obstructive lesions present with shock as the ductus arteriosus closes and the[rcemlearning.co.uk]

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