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A member asked:
I have a heart murmur loudest in the upper left area-rough sound between s1 and s2 (racepinephrine) and it becomes clearer when i exercise and feel breathless. my latest ecgs had p waves pointed aver. 3mm tall causes?
A doctor has provided 1 answer
You had an echo...: What did it show? Possibly a bicuspid aortic valve instead of the typical trileaflet aortic valve? Any hypertrophic changes in the ventricle near the outflow tract? Enlarged atria? Elevated RV pressure? I'd be interested in details. Murmurs can fool even the best cardiologists, and the reaction of the murmur to maneuvers isn't included. Echo is the definitive test to characterize murmur origins.
Answered 1/14/2015
3.4k views
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