Question 1

is ct cardiac calcium scan accurate in diagnosing mild ectatic ascending aorta? have fam. history of heart disease (father died at 46 with chf) and slight heart murmur. should i have other tests done

Accepted Answer

Ectasia: The ectasia is likely. You need good BP control, lipid control, not smoking, cholesterol control in any case and that's all you can do about the ectasia anyway.

Question 2

i was told i have soft systolic murmur in aorta area and referred to heart cardiology. what's gonna happen next? very nervous. bp 150/90, 35yrs

Accepted Answer

Don't be  nervous: soft systolic murmur is a very vague description given to you by your doctor. It could be something absolutely benign. If you're having symptoms such as chest pain, shortness of breath or other cardiac symptoms AND you have a murmur, then perhaps there's more reason for concern. I'm sure your cardiologist will give you a good explanation and hopefully nothing serious. Be well!

Question 3

a friend has systolic murmur in the aorta, shortness of breath and chest pain. what do these mean?

Accepted Answer

Aortic stenosis: A systolic murmur in aorta with sob and chest pain- most likely is aortic stenosis. Needs a cardiology evaluation with an echo to find about the severity of stenosis and then plan appropriate treatment.

Question 4

normal echo 18months ago. now have systolic murmur over aorta and carotid bruit. is it possible for damage to develop so quickly?could this be benign?

Accepted Answer

Unlikely : At your age it is unlikely the the carotid 'bruit' means anything is wrong.  The murmur is hard to evaluate without further testing.  

Non invasive eco testing could clear up most of your concerns and probably should be performed.

Question 5

cardiac auscultation identified an aortic systolic murmur no radiation,  likely a flow murmur rather than stenosis of myopath what does this mean?

Accepted Answer

Means its: what we term a "FUNCTIONAL MURMUR" often heard in thin chested individuals NOT due to an obstruction (like STENOSIS) but WITHJN NORMAL LIMITS!)

Hope this is helpful!
Dr Z

Question 6

what causes a systolic murmur with chest pain?

Accepted Answer

Valve stenosis: Common cause is Aortic Valve stenosis.  This is secondary to stiffening of the valves that restricts the blood flow from the heart which causes the heart murmur. This can decrease blood output leading to chest pain as a symptom.

Question 7

what are the causes of second heart sounds with 2/6 systolic murmur?

Accepted Answer

2nf heart sounds: Second heart sounds with systolic murmurs are usually ejection clicks.

Question 8

what causes late systolic murmur?

Accepted Answer

Classic: The classic answer is mitral valve prolapse.

Question 9

can ventricular septal defect cause diastolic or systolic murmur?

Accepted Answer

Systolic: Generally a systolic murmer.

Question 10

clarification: posterior wall fibrosis: i read it can be caused by certain muscular dystrophia's and can show a late systolic murmur? ef is 70.

Accepted Answer

Heart issue: Based on the very limited information, it's essentially impossible to diagnose your condition. It looks like your ef is good, so your heart function is preserved. You will need to see a cardiologist in your area to discuss with him further work up.

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Doctor answers about:

Does a repaced ascending aorta cause a systolic murmur

A member asked:

Is ct cardiac calcium scan accurate in diagnosing mild ectatic ascending aorta? have fam. history of heart disease (father died at 46 with chf) and slight heart murmur. should i have other tests done

A member asked:

I was told i have soft systolic murmur in aorta area and referred to heart cardiology. what's gonna happen next? very nervous. bp 150/90, 35yrs

A member asked:

A friend has systolic murmur in the aorta, shortness of breath and chest pain. what do these mean?

A member asked:

Normal echo 18months ago. now have systolic murmur over aorta and carotid bruit. is it possible for damage to develop so quickly?could this be benign?

A member asked:

Cardiac auscultation identified an aortic systolic murmur no radiation, likely a flow murmur rather than stenosis of myopath what does this mean?

A member asked:

What causes a systolic murmur with chest pain?

A member asked:

What are the causes of second heart sounds with 2/6 systolic murmur?

A member asked:

What causes late systolic murmur?

A member asked:

Can ventricular septal defect cause diastolic or systolic murmur?

A member asked:

Clarification: posterior wall fibrosis: i read it can be caused by certain muscular dystrophia's and can show a late systolic murmur? ef is 70.

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