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19 Possible Causes for Right-Sided Heart Failure, Systolic Thrill at Lower Left Sternal Border

  • Patent Ductus Arteriosus

    With time, an uncorrected PDA usually leads to pulmonary hypertension followed by right-sided heart failure.[en.wikipedia.org] Symptoms are uncommon at birth and shortly thereafter, but later in the first year of life there is often the onset of an increased work of breathing and failure to gain weight[en.wikipedia.org]

  • Tetralogy of Fallot

    heart failure.[mottchildren.org] Systolic thrill at the lower left sternal border. Aortic ejection click.[patient.info] heart failure See Treatment and Medication for more detail, as well as the Guidelines section for the 2018 American Heart Association/American College of Cardiology (AHA[emedicine.com]

  • Tricuspid Valve Insufficiency

    Preoperative right-sided heart failure was present in 124 patients (22%), and 55 patients (10%) had pulmonary hypertension.[ncbi.nlm.nih.gov] 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] Generally, medical rather than surgical treatment of TR is recommended if the cause is right ventricular dilatation or left-sided heart failure.[en.wikipedia.org]

  • Aortic Valve Stenosis

    Other classic symptoms of heart failure — orthopnea, paroxysmal nocturnal dyspnea (PND) and signs of right sided heart failure (i.e. peripheral edema) — are also common.[healio.com] Eventually, right-sided heart failure can develop as well. Causes The predominant causative factor in AS is congenital malformation of the aortic valve.[medical-dictionary.thefreedictionary.com] Therefore, symptoms of heart failure because of AS may be left-sided, including rest or exertional dyspnea, orthopnea, and paroxysmal nocturnal dyspnea, or right-sided, including[doi.org]

  • Ventricular Septal Defect

    Beside lung abscesses from embolization of the right-sided vegetations, left heart failure symptoms developed.[revportcardiol.org] 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] […] of the right side of the heart Most often, this condition is diagnosed during routine exam of an infant.[nlm.nih.gov]

  • Right Ventricular Hypertrophy

    Together, the data suggest intriguing potential for pharmacological epigenetic therapies for the treatment of PH and right-sided heart failure.[ncbi.nlm.nih.gov] 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] On physical examination, the most prominent features are due to the development of right-sided heart failure.[en.wikipedia.org]

  • Acyanotic Congenital Heart Disease

    Severe aortic stenosis in the newborn period (critical aortic stenosis) presents with signs of left sided heart failure (pulmonary edema, poor perfusion), right sided heart[ncbi.nlm.nih.gov] 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]

  • Apical Myocardial Infarction

    A right-sided ECG will show ST segment elevation and should be done in all inferior STEMI patients.[healio.com] 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] Systolic Heart Failure The left ventricular systolic dysfunction potentially resulting from STEMI can cause chronic systolic congestive HF; see Congestive Heart Failure (Systolic[healio.com]

  • Large Ventricular Septal Defect

    […] of the right side of the heart When to Contact a Medical Professional Most often, this condition is diagnosed during routine exam of an infant.[ufhealth.org] 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] […] of the right side of the heart Most often, this condition is diagnosed during routine exam of an infant.[medlineplus.gov]

  • Septic Embolus

    Although rare, right-sided heart failure due to increased pulmonary arterial pressure or severe right-sided valvular regurgitation/obstruction may occur.[intechopen.com] A systolic thrill was palpable at the lower left sternal border. Localized crackles were audible at the base of the right lung.[comprped.com] side of heart) due to local increased resistance to blood flow, pulmonary hypertension and right sided failure Other risk factors are trauma, hypercoagulable states, protein[pathologyoutlines.com]

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