Heart murmurs cannot be ignored, because they may be caused by some disease problems. Common systolic murmurs in the apical area may be caused by coronary heart disease, myocardial infarction, infective endocarditis, or rheumatoid heart disease. 1. Apical systolic murmur Non-pathological apical systolic murmur, rheumatic mitral valvulitis, rheumatic mitral regurgitation, infective endocarditis, rheumatoid heart disease, systemic lupus erythematosus, and scleroderma. Papillary muscle insufficiency or chord rupture, (coronary heart disease, myocardial infarction), idiopathic abdominal cord rupture, valvular relaxation, mitral valve prolapse syndrome, Marfan syndrome, thick obstructive cardiomyopathy, dilated cardiomyopathy, atrial septal defect, patent ductus arteriosus, endocardial cushion defect, pregnancy, hyperthyroid heart disease, anemic heart disease, beriberi heart disease, athlete's heart syndrome, high altitude heart disease, third degree atrioventricular block, carcinoid syndrome. Left, failed aortic regurgitation, relative mitral regurgitation. 2. Apical diastolic murmur Rheumatic mitral valvulitis, rheumatic mitral stenosis, infective endocarditis, rheumatoid heart disease, systemic lupus erythematosus, Austin-Flint murmur of aortic regurgitation, left atrial fluid tumor, large mitral valve vegetation or thrombus, constrictive pericarditis, Hurler syndrome, patent ductus arteriosus, Lutembacher syndrome, severe mitral regurgitation, severe aortic regurgitation, ventricular septal defect with large shunt flow, hypertensive heart disease, aortic coarctation, dilated cardiomyopathy, anemic heart disease. Hyperthyroid heart disease, third degree atrioventricular block. Apical diastolic murmur due to other causes. 3. Systolic murmur in the aortic valve area Rheumatic aortic valvulitis, rheumatic aortic stenosis. Aortic atherosclerosis, hypertensive heart disease, supravalvular aortic stenosis syndrome, congenital bicuspid aortic valve, aortic coarctation, syphilitic aortitis, aortic aneurysm, Ebstein's anomaly. Severe aortic regurgitation and complete atrioventricular block. Hyperthyroidism heart disease, anemic heart disease, carcinoid syndrome, carotid murmur, and aortic valve area systolic murmur caused by other reasons. 4. Diastolic murmur in the aortic valve area Rheumatic aortic valvulitis, rheumatic aortic regurgitation, syphilitic aortic regurgitation, infectious. Endoarteritis, rheumatoid heart disease, systemic lupus erythematosus, Marfan syndrome, aortic atherosclerosis, hypertension causing aortic valve ring enlargement, aortic sinus aneurysm rupture, high ventricular septal defect causing aortic valve prolapse, and aortic valve insufficiency caused by other reasons. |
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