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18 Possible Causes for Systolic Thrill at Lower Left Sternal Border, Tachypnea

  • Patent Ductus Arteriosus

    Symptoms Failure to thrive, tachypnea, easy fatigability, tachycardia, and cyanosis may occur.[symptoma.com] Eg: tachypnea, tachycardia, growth retardation.[medicaljoyworks.com] Symptoms may include failure to thrive, poor feeding, tachycardia, and tachypnea. A continuous murmur at the upper left sternal border is common.[merckmanuals.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] Four, 5-day-old to 7-month-old, infants weighing 2500, 2700, 2800, and 3400g, respectively presented to emergency unit (EU) with cyanosis, tachypnea, and loss of weight.[ncbi.nlm.nih.gov] In this situation, children tend to show the symptoms seen so far, like tachypnea and cyanosis, when they are under physical exercise but not when they are at rest.[symptoma.com]

  • Tetralogy of Fallot

    Systolic thrill at the lower left sternal border. Aortic ejection click.[patient.info] The tachypnea is due to pulmonary overcirculation, resulting from left to right flow across the ventricular septal defect.[clinicaladvisor.com] A patient without cyanosis has a long, loud, systolic murmur with a thrill along the right ventricular outflow tract (RVOT).[patient.info]

  • Anomalies of Great Veins, Congenital

    On examination, there is a systolic murmur at the lower left sternal border (LLSB), and a systolic thrill may be present if there is a large shunt.[ahcmedia.com] The general physical symptoms of these pathophysiological alterations are growth retardation, decreased exercise tolerance, recurrent respiratory infections, dyspnea, tachypnea[medical-dictionary.thefreedictionary.com] Pulmonary edema will lead to tachypnea and gasping, while mixing of blood supplies leads to cyanosis.[vhlab.umn.edu]

  • 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] May have palpable impulses due to heart being hyperdynamic -Quiet tachypnea -No murmur unless VSD or other defect Transposition of the Great Arteries tx IV prostaglandins[quizlet.com] 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]

  • 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] Common presenting signs and symptoms include: Tachypnea & increased work of breathing Tachycardia Poor weight gain / FTT Diaphoresis Pulmonary rales if heart failure marked[pedclerk.bsd.uchicago.edu] […] small and isolated Dyspnea Cyanosis History of respiratory infections Excessive sweating Assessment-Physical Findings Pallor Prominent anterior chest wall Clubbing Cyanosis Tachypnea[quizlet.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] Symptoms may include failure to thrive, poor feeding, tachycardia, and tachypnea. A continuous murmur at the upper left sternal border is common.[msdmanuals.com] 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

    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] […] contraction(SVPC)上室期外収縮 supraventricular tachycardia (SVT)上室頻拍 symptom 症状 syncope意識消失、失神 systole[心]収縮[期] systolic function収縮機能 systolic murmur (SM)収縮期雑音 t tachycardia 頻拍(脈) tachypnea[tokyo-med.ac.jp]

  • 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] […] physiologic, metabolic, and congenital complications namely preterm birth, birth asphyxia, macrosomia, respiratory distress including hyaline membrane disease and transient tachypnea[mjdrdypu.org] An apical diastolic rumble (due to increased flow through the mitral valve) and findings of heart failure (eg, tachypnea, dyspnea with feeding, failure to thrive, gallop,[msdmanuals.com]

  • Left to Right Cardiac Shunt

    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] More info The symptoms of a persisting ductus arteriosus differ according to age: In infants with a large DA increasing cardiac insufficiency with tachypnea, dyspnea, and[embryology.ch] These patients are acyanotic and exhibit signs of congestive heart failure including tachypnea and tachycardia, and failure to thrive. 5, 10 By contrast, older children or[radiologykey.com]

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