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18 Possible Causes for Systolic Thrill at Lower Left Sternal Border, X-Ray Abnormal

  • Patent Ductus Arteriosus

    , genetic conditions Diagnostic method Echocardiography, Doppler, X-ray Prevention Screening at birth, high index of suspicion in neonates at risk Treatment NSAIDs, surgery[en.wikipedia.org] […] murmur Complications Heart failure, Eisenmenger's syndrome, pulmonary hypertension Causes Idiopathic Risk factors Preterm birth, congenital rubella syndrome, chromosomal abnormalities[en.wikipedia.org]

  • Aortic Valve Stenosis

    The physician injects a contrast solution into the artery and takes X-rays to check for blockage and other abnormalities.[wexnermedical.osu.edu] An ECG can detect enlarged chambers of your heart, heart disease and abnormal heart rhythms. Chest X-ray.[mayoclinic.org] Diagnostic tests to specify the valve disease include: Electrocardiogram (EKG/ECG) – A test that records the electrical activity of the heart Chest X-ray – A radiograph or[wexnermedical.osu.edu]

  • 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] Also, there may be changes that take place in the lungs due to extra blood flow that can be seen on an X-ray. Learn more about chest X-ray.[choc.org] 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]

  • Tetralogy of Fallot

    Systolic thrill at the lower left sternal border. Aortic ejection click.[patient.info] Tests that can aid in the diagnosis of TOF are: a chest X-ray to check for structural abnormalities an echocardiogram to check for disruptions in heartbeats a heart MRI to[healthline.com] The abnormal "coeur-en-sabot" (boot-like) appearance of a heart with tetralogy of Fallot is classically visible via chest x-ray, although most infants with tetralogy may not[en.wikipedia.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] Tests may include: A chest X-ray An ECG (also called an EKG or electrocardiogram), which measures and records the heartbeat An echocardiogram, which uses sound waves (ultrasound[summitmedicalgroup.com] Also, there may be changes in the lungs due to extra blood flow that can be seen on an X-ray. Electrocardiogram (ECG).[stanfordchildrens.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] Chest X-ray In a chest X-ray, your doctor studies the size and shape of your heart and evaluates your lungs.[mayoclinic.org] A chest x-ray, an electrocardiogram (EKG), and an echocardiogram (ultrasound study of the heart muscle and valves) may be helpful in reaching the diagnosis.[healthcentral.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] 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]

  • 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] On cardiac examination, a grade 4/6 harsh pansystolic murmur at the lower left sternal border and a loud second heart sound were detected.[comprped.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] Systolic thrill at the apex is usually detected in patients with significant MR.[cardiologyforyou.blogspot.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] They may be noted on routine testing to have an abnormal chest x-ray or an abnormal EKG and may have atrial fibrillation.[marmur.com] […] on chest X-ray, the patient is normothermic and only mildly sedated.[cancertherapyadvisor.com]

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