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11 Possible Causes for Systolic Murmur, Systolic Thrill at Lower Left Sternal Border

  • Patent Ductus Arteriosus

    […] split) 8.  Dilatation of the ascending aorta  Aortic ejection click – preceeding the conti nuous murmur  Aortic ejection systolic murmur – drowned by the loud continuous[slideshare.net] The murmur is usually recognized as systolic rather than continuous in the first weeks of life and can mimic a benign systolic murmur.[emedicine.medscape.com] Review Topic QID: 106761 1 Mid-systolic murmur loudest at the right second intercostal space, with radiation to the right neck 2 Holodiastolic murmur loudest at the apex,[step1.medbullets.com]

  • Aortic Valve Stenosis

    murmur and in asymptomatic patients with a grade 3/6 or louder systolic murmur.[aafp.org] Systolic murmur The classic crescendo-decrescendo systolic murmur of aortic stenosis begins shortly after the first heart sound.[emedicine.medscape.com] Both conditions are associated with an early, harsh systolic murmur that is transmitted to the carotids.[patient.info]

  • 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] An 32-months-old boy was admitted for a significant precordial systolic murmur.[ncbi.nlm.nih.gov] Most VSDs can be noticed by systolic murmur even today.[ncbi.nlm.nih.gov]

  • 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] murmur in the one-sided murmur.[remedyland.com] […] with a VSD, blowing or rumbling and varying in frequency In small VSD, functional murmur or characteristic loud, harsh systolic murmur Diagnostic Test Results-Imaging Chest[quizlet.com]

  • 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] Phonocardiogram (shows a systolic murmur). Echo (the main method shows the deformation and thinning of the flaps, the formation of new structures, etc.).[vascular.vsebolezni.com] In the absence of pulmonary hypertension, the murmur is usually low-intensity and early systolic.[patient.info]

  • Tetralogy of Fallot

    Systolic thrill at the lower left sternal border. Aortic ejection click.[patient.info] Both create diamond shaped systolic murmurs.[easyauscultation.com] A harsh systolic murmur at the left upper sternal border with a single 2nd heart sound (S2) is common. Diagnosis is by echocardiography.[msdmanuals.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] On occasion, the systolic murmur can be transmitted and auscultated over the liver.[en.wikipedia.org] Its clinical characteristics also include a systolic murmur and a palpable thrill on both sides of the chest, dyspnea and poor exercise tolerance.[medical-dictionary.thefreedictionary.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] […] apical murmur (grade III out of VI) and normal pulmonary sounds on auscultation.[tmj.ro] The new systolic murmur may be only early-to-mid systolic, not holosystolic.[emedicine.medscape.com]

  • Biventricular 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[msdmanuals.com] Outflow tract obstruction may cause a systolic murmur at the left sternal edge, radiating to the aortic and mitral areas.[patient.info] Signs:      • • • systolic murmur best heard between the apex and left sternal border - increases in intensity with maneuvers that decrease preload (Valsalva, squatting[slideshare.net]

  • Septic Embolus

    Physical examination revealed pyrexia, tachycardia, one splinter haemorrhage, soft systolic murmur, a tender left hypochondrium with no rebound or guarding, and good bowel[heart.bmj.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] A systolic murmur at the mitral position consistent with mitral regurgitation was noted. The rest of the physical examination were normal.[medcraveonline.com]

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