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Doctor insights on:
Does A Repaced Ascending Aorta Cause A Systolic Murmur
1
Why does a partial or full avsd cause a holosystolic murmur? Is it because associated valve regurgitation? Thanks.
Typically: Iin an avsd, there will typically be a systolic ejection murmur from increased flow across the pulmonary valve related to pulmonary overcirculation. The vsd shunting will often be low velocity and not produce an audible murmur, so any holosystolic murmur would usually derive from av valve regurgitation, a common problem in this defect. ...Read more
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Heart Murmur (Definition)
A heart murmur is a sound heard by a stethoscope made by the vibration of blood flow. It can be a normal finding in young healthy people, or can represent abnormal leakage (regurgitation) of a valve, valve narrowing (stenosis), or a congenital condition such as an atrial septal defect, a ventricular septal defect, ...Read more
2
Cardiac auscultation identified an aortic systolic murmur no radiation, likely a flow murmur rather than stenosis of myopath what does this mean?
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 ...Read more
3
Does a ?Ventricular septal defect cause a diastolic murmur?
Holosystolic: Classically, a vsd results in increased blood flow from left to right ventricle due to pressure differences and results in a holosystolic murmur. Several situations where a diastolic murmur may be heard is 1) large vsd results in aortic cusp sucking into vsd and aortic regurg, 2) very large defect with so much flow to lungs and back to left side with diastolic rumble through mitral valve. ...Read more
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4
Does a rbbb cause a heart murmur?
Nope: The right bundle branch block would just cause the right ventricle to contract a little later than normal. If you have a murmur, it must be unrelated. Many murmurs are completely benign -- a good cardiologist can tell you the cause of your murmur and whether or not it is of concern. ...Read more
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5
What does it mean if you have a high blood velocity through your descending aorta? No coarctation or anything. Aortic valve looked okay. BP is normal
Nothing: Common finding in young healthy, active adults. ...Read more
6
Can a pounding heartbeat indicate aortic aneurysm?
Not really: An aneurysm can be found as a pulsatile mass in the belly, but in the chest, cannot be felt at all. A pounding heartbeat can be high blood pressure, stress, or any number of other issues. ...Read more
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7
If an atrial septal defect is causing a murmur, does it usually also cause a wide split s2 (racepinephrine)?
ASD: A murmur and a wide fixed split of s2 (racepinephrine) are the standard features of atrial septal defect. Most atrial septal defect needs to be treated surgically or by intervention. ...Read more
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8
I have mitral valve prolapse with trivial regurgition the left ventricle wall is shaped like a ballerina foot. How serious and may it stay benign?
These: are ROUTINE findings in normal cardiac ultrasound studies RELAX Hope this is helpful Dr Z ...Read more
9
What is severe subpulmonary stenosis due to mitral valve chordal apparatus with a peak gradient of 72 mmhg? Can it be treated?
Stenosis: I think you mean sub aortic stenosis. You should clarify with the diagnosing doctor and ask about the condition and treatment. ...Read more
10
What could cause a systolic heart murmur in a child?
Many things: The most common systolic murmur is an innocent flow murmur. Some murmurs represent rapid blood flow through a tight valve or tube, some rapid flow through a whole. Many docs are rained to know based on exam, but a cardiac ultrasound is sometimes done to confirm or exclude the initial impression. ...Read more
11
What could cause a systolic heart murmur in a child?
Many are Normal: Many children develop Heart murmurs as they grow. They are caused by blood vibrating the heart as it beats. Sometimes it can be caused by a hole in the heart or other abnormal changes in heart valves. A visit to a pediatric heart specialist would be a great way to clarify this. Most of them are innocent ( not a significant health issue) and resolve without treatment. Get it checked ...Read more
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12
Can average diastolic pressure of 6.5 be a sign of tricuspid valve abnormality? (or other cardiac problem)
Not intelligible: Your question does not make sense
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13
A pulmonary artery that is 31 mm and aortic artery is 3.7 and a borderline enlargement heart is that classified as pulmonary arterial hypertension?
No. Need RVSP.: To diagnose pulmonary arterial hypertension (PAH), you need to have (1) a description of symptoms that you experience that is consistent with PAH, and (2) a measurement or estimate of the pulmonary arterial pressure - either by echocardiogram or by Swan-Ganz (right heart) catheterization. Only after a doctor has obtained this information can you diagnose PAH. Use HealthTap Prime to discuss. ...Read more
14
Does a PFO (patent foramen ovale) ever cause a heart murmur ?
NO: A pfo is a small communication between the two upper chambers of the heart and usually it does not cause a murmur. Now if the hole is bigger it may be an atrial septal defect (ASD) which would cause a murmur. So unless it's an ASD and erroneously called a pfo, it should not cause a murmur. ...Read more
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15
Does a ordinary heart echo include checking the pulmonary arterial pressure and does a normal echo rule out pulmonary hypertension?
Typically an estimat: Echocardiography typically estimates pulmonary artery pressure indirectly. PA pressure is measured directly with heart catheterization. Echo is a good screening test. ...Read more
16
I have a loud systolic heart murmur best heard in right intercostal space.I have other heart related symptoms.Wud this indicate a valve or hole issue?
Possibly: A loud heart murmur should be investigated by your physician. It could be a valve problem and an echocardiogram will help to define the issue. The aortic valve is often heard best in the right upper sternal border. ...Read more
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17
What is enlarged heart, and a tortuous aorta?
X-Ray Finding: This sounds like a report from a chest x-ray. Chest x-ray can detect whether a heart is enlarged or not. It can also look at the aorta and give a sense of whether the aorta has a normal "smooth" course or a more pronounced one. In and of themselves, these findings don't necessarily mean anything specific, and could need more followup tests. ...Read more
18
Would a hole in your heart and aortic stenosis be life-threatening?
Depends: Both vary separately and as a pair in their impact on the heart and circulatory system, from minimal to life threatening. ...Read more
19
Can a regular echocardiogram detect an aortic dissection coming?
Not really : There is no test to tell u if u will develop dissection or not . Regular or trans-thoracic echo can detect dissection in the ascending part of the thoracic aorta but can't see other parts. Ct angiography, mra or trans-esophageal echo is better tests. ...Read more
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20
I am 74 old, 73 in. Tall, 4.8cm ascending aortic aneurysm, with bicuspid aortic valve, when should it be repaired?
Valve is problem: Aneurysm is small and secondary to turbulant blood flow across the abnormal valve. Bicuspid valves generally begin to calcify in the 5th and 6th decades of life leading to Aortic Valve stenosis. You should have a cardiologist and get annual echocardiograms and when the gradient across the valve is > 40mmHG and you have symptoms the valve should be replaced. Tx of aneurysm unnecessary at that size. ...Read more
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Aorta (Definition)
The aorta is the largest artery in the body, leaving directly from the left ventricle of the heart to supply blood to the entire body. It is made of elastic tissue layers called "intima" and is subject to damage by high blood pressure, smoking, cholesterol, ...Read more
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