2,552 results match your criteria systolic murmur


Acute Tachycardia-Induced Cardiomyopathy: A Case Report.

Authors:
Mohamed Amr

Am J Case Rep 2021 May 10;22:e930732. Epub 2021 May 10.

Department of Internal Medicine, Rochester General Hospital, Rochester, NY, USA.

BACKGROUND Tachycardia from atrial fibrillation or flutter can lead to left ventricular systolic dysfunction. Some patients deteriorate quickly, and there is an acute drop in their left ventricular systolic function; however, they tend to normalize rapidly after treatment of the underlying arrhythmia. The aim of publishing the present case is to maintain awareness that tachycardia is one of the etiologies of acute systolic heart failure, which is potentially reversible by treatment when recognized. Read More

View Article and Full-Text PDF

A giant left internal iliac artery aneurysm in a patient with Loeys-Dietz syndrome.

Interact Cardiovasc Thorac Surg 2021 May 9. Epub 2021 May 9.

Cardiac Surgery Department, Bakoulev's Scientific Center of Cardiac Surgery, Moscow, Russia.

A 16-year-old female presented with left iliac fossa pain. In January 2021, she was admitted to her local hospital with severe lower abdominal pain and the pelvic ultrasound demonstrated a 13-cm left internal iliac artery dissecting aneurysm with its partial thrombosis. On examination, she had a high-arched palate, multiple skin stretch marks, flat feet and a soft systolic ejection murmur at the left 5th mid-clavicular line. Read More

View Article and Full-Text PDF

Brucella involving the heart: a hidden disease.

Int J Cardiovasc Imaging 2021 May 3. Epub 2021 May 3.

Internal Medicine Department, Division of Infectious Diseases, Faculty of Medical Sciences, Notre Dame, Secours University Hospital Jbeil and the Holy Spirit University of Kaslik, Rue 93, Hboub- St Charbel, B.P.3, Jbeil, Lebanon.

Brucellosis is a multisystemic disease with serious cardiac involvement mainly endocarditis. It is a lethal but rare complication involving congenital, prosthetic and even native valves. Positive hemoculture confirm the diagnosis. Read More

View Article and Full-Text PDF

Incidentally found guidewire during bacterial endocarditis workup.

Ann Card Anaesth 2021 Jan-Mar;24(1):77-78

Echocardiography Laboratory, Columbia University Division of Cardiology, Mount Sinai Heart Institute, Miami Beach, FL, USA.

A 67-year-old female with recent hospitalization for pneumonia was transferred to our facility for high fevers and positive blood cultures for staph aureus. During her treatment for pneumonia, central venous catheter was placed. A systolic murmur was found in conjunction with fever and notable premature ventricular contractions on telemetry monitoring. Read More

View Article and Full-Text PDF

Parachute mitral valve.

Ann Card Anaesth 2021 Jan-Mar;24(1):75-76

Echocardiography Laboratory, Columbia University Division of Cardiology at the Mount Sinai Heart Institute, Miami Beach, Florida, USA.

An asymptomatic 30-year-old male was referred for a transthoracic echocardiogram because of a systolic murmur that was noted on a pre-employment physical exam. Transthoracic imaging demonstrated a single papillary muscle from which the chordae of both mitral valve leaflets were attached. The mitral valve was seen to have a parachute-like configuration. Read More

View Article and Full-Text PDF

The signs and symptoms of Ernest Shackleton.

J Med Biogr 2021 Apr 24:9677720211002205. Epub 2021 Apr 24.

Department of Anesthesia, Critical Care and Pain Medicine, 2348Massachusetts General Hospital, Boston, MA, USA.

Ernest Shackleton, an accomplished Antarctic explorer, developed a life-threatening illness during the Discovery Antarctic expedition of 1901-4. His documented signs and symptoms included inflamed gums attributed to scurvy, severe dyspnea, and exercise intolerance, presenting in a setting of nutritional deficiency. Physical examinations at a later date, also following a prolonged diet of limited fresh food, revealed a pulmonary systolic murmur. Read More

View Article and Full-Text PDF

Blurring of vision with malaise.

J R Coll Physicians Edinb 2021 03;51(1):49-52

General Internal Medicine, Conquest Hospital, East Sussex Healthcare NHS Trust, Hastings.

We present the case of a 56-year-old female brought to the Emergency Department via routine ambulance transport with complaints of blurred vision and malaise. She was screened by ambulance crew using the facial arm speech time (FAST) tool and a basic top-to-toe assessment as per current routine. The examining practitioner performed a thorough assessment of the patient, revisiting the initial examination findings, and establishing new clinical features of visual field deficit and pan-systolic murmur. Read More

View Article and Full-Text PDF

Does Iron Deficiency Affect the Heart in Children?

J Pediatr Hematol Oncol 2021 Apr 9. Epub 2021 Apr 9.

Departments of Pediatrics Pediatric Cardiology Pediatric Haemotology, Keciören Training and Research Hospital, Health Sciences University, Ankara, Turkey.

Introduction: It is well known that serum iron parameters are closely related to cardiovascular health. Iron deficiency may lead to significant cardiac problems, such as atrioventricular conduction abnormalities, and systolic and/or diastolic dysfunction. Studies related to the effect of iron deficiency on cardiac functions are limited in children. Read More

View Article and Full-Text PDF

The riddle of the right ventricle.

Rom J Morphol Embryol 2020 Jul-Sep;61(3):923-927

Clinical Department No. 5, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Department of Internal Medicine, Clinical Emergency Hospital Bucharest, Romania;

Right ventricular (RV) myxoma is a very rare finding. Its differential diagnosis includes cardiac thrombus, and its risk of life-threatening complications mandates early diagnosis followed by surgical resection. We report the case of a patient with an incidental RV mass and a difficult differential diagnosis. Read More

View Article and Full-Text PDF

Automatic Evaluation of Heart Condition According to the Sounds Emitted and Implementing Six Classification Methods.

Healthcare (Basel) 2021 Mar 12;9(3). Epub 2021 Mar 12.

Unidad Académica de Ingeniería Eléctrica, Universidad Autónoma de Zacatecas, Jardín Juarez 147, Centro, Zacatecas 98000, Mexico.

The main cause of death in Mexico and the world is heart disease, and it will continue to lead the death rate in the next decade according to data from the World Health Organization (WHO) and the National Institute of Statistics and Geography (INEGI). Therefore, the objective of this work is to implement, compare and evaluate machine learning algorithms that are capable of classifying normal and abnormal heart sounds. Three different sounds were analyzed in this study; normal heart sounds, heart murmur sounds and extra systolic sounds, which were labeled as healthy sounds (normal sounds) and unhealthy sounds (murmur and extra systolic sounds). Read More

View Article and Full-Text PDF

Clinical and Echocardiographic Findings in an Aged Population of Cavalier King Charles Spaniels.

Animals (Basel) 2021 Mar 28;11(4). Epub 2021 Mar 28.

School of Veterinary Medicine, Ross University, Two mile hill st., Michael BB11093, Barbados.

Myxomatous mitral valve disease (MMVD) is the most common cardiac disease in dogs. It varies from dogs without clinical signs to those developing left-sided congestive heart failure, leading to death. Cavalier King Charles Spaniels (CKCSs) are particularly susceptible to MMVD. Read More

View Article and Full-Text PDF

Primary Intimal Sarcoma of the Pulmonary Artery in a 25-Year-Old Woman with Dyspnea and Palpitation: A Case Report.

Case Rep Oncol 2021 Jan-Apr;14(1):318-324. Epub 2021 Mar 3.

Department of Human Pathology, Juntendo University School of Medicine, Tokyo, Japan.

Intimal sarcoma arising from the tunica intima of both systemic and pulmonary circulations is a rare disorder, whereas intimal sarcoma with chondroblastic osteosarcomatous differentiation (ISCOS) is even rarer. We present the case of a 25-year-old woman with ISCOS of the pulmonary artery (PA) where the patient went through surgical treatment after careful imaging assessment under a rather emergent situation. A 25-year-old Japanese female presented to our hospital with the chief complaints of dyspnea and palpitations on exertion. Read More

View Article and Full-Text PDF

Dynamic left ventricular outflow tract obstruction in Takotsubo cardiomyopathy resulting in cardiogenic shock.

BMJ Case Rep 2021 Mar 24;14(3). Epub 2021 Mar 24.

Cardiology, Amsterdam UMC, Amsterdam, Noord-Holland, The Netherlands

We report a case of a 73-year-old female patient, who was admitted to the coronary care unit due to chest pain, malaise and near syncope. During physical examination, the patient was hypotensive and there were signs of left-sided heart failure and a loud systolic murmur. Echocardiogram showed apical ballooning with dynamic left ventricular outflow tract obstruction, based on systolic anterior motion of the mitral valve with important mitral valve regurgitation. Read More

View Article and Full-Text PDF

Detection of Pathologic Heart Murmurs Using a Piezoelectric Sensor.

Sensors (Basel) 2021 Feb 16;21(4). Epub 2021 Feb 16.

Department of Pediatrics, Akita University Graduate School of Medicine, 1-1-1, Hondo, Akita 010-8543, Japan.

This study aimed to evaluate the capability of a piezoelectric sensor to detect a heart murmur in patients with congenital heart defects. Heart sounds and murmurs were recorded using a piezoelectric sensor and an electronic stethoscope in healthy neonates (n = 9) and in neonates with systolic murmurs caused by congenital heart defects (n = 9) who were born at a hospital. Signal data were digitally filtered by high-pass filtering, and the envelope of the processed signals was calculated. Read More

View Article and Full-Text PDF
February 2021

Risk Prediction Model for Incident Atrial Fibrillation in a General Japanese Population - The Hisayama Study.

Circ J 2021 Feb 23. Epub 2021 Feb 23.

Department of Epidemiology and Public Health, Graduate School of Medical Sciences, Kyushu University.

Background: The risk prediction of incident atrial fibrillation (AF) is useful to prevent AF and its complications. The aim of this study is to develop a new risk prediction model for incident AF using the prospective longitudinal data from a general Japanese population.Methods and Results:A total of 2,442 community-dwelling AF-free residents aged ≥40 years were followed up from 1988 to 2012 (46,422 person-years). Read More

View Article and Full-Text PDF
February 2021

Acute pharmacodynamic effects of pimobendan in client-owned cats with subclinical hypertrophic cardiomyopathy.

BMC Vet Res 2021 Feb 23;17(1):89. Epub 2021 Feb 23.

Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California-Davis, One Shields Avenue, Davis, CA, 95616, USA.

Background: Prior studies have suggested that pimobendan is associated with several positive effects in cats, including improved survival in cats with congestive heart failure and improved left atrial function in research colony cats with hypertrophic cardiomyopathy (HCM) and normal cats. However, there is still a paucity of pharmacodynamic data refuting or supporting the use of pimobendan in a clinical cat population. This clinical trial aimed to evaluate the pharmacodynamic effects and tolerability of a single dose of pimobendan in cats with HCM. Read More

View Article and Full-Text PDF
February 2021

Infective Endocarditis Leading to Intracranial Abscess: A Case Report and Literature Review.

Cureus 2021 Jan 12;13(1):e12660. Epub 2021 Jan 12.

Critical Care, Mayo Clinic, Rochester, USA.

Neurologic complications are a hallmark of infective endocarditis (IE). IE leading to intracranial abscess has an unfavorable prognosis. A 17-year-old boy with a past medical history of aortic valve replacement presented with fever and seizure. Read More

View Article and Full-Text PDF
January 2021

A clinical case of single left ventricle in a Holstein calf.

J Vet Med Sci 2021 Apr 9;83(4):609-612. Epub 2021 Feb 9.

Veterinary Medical Center, Graduate School of Agriculture and Life Science, The University of Tokyo, Tokyo 113-8657, Japan.

A 15-day-old Holstein calf with lethargy and tachypnea presented to the Veterinary Teaching Hospital at Obihiro University of Agriculture and Veterinary Medicine for evaluation of suspected congenital heart defect. A Levine grade 6 systolic murmur was noted at right apical site auscultation and phonocardiogram also recorded systolic a murmur. Electrocardiography findings include increased R and S waves, R wave split, and negative T waves without arrhythmia. Read More

View Article and Full-Text PDF

Aortopulmonary window, left coronary artery aneurysm, and redundant aortic valve leaflet in a calf: the use of multimodal imaging to diagnose congenital heart disease.

J Vet Cardiol 2021 Apr 16;34:48-54. Epub 2021 Jan 16.

University of Wisconsin Veterinary Medical Teaching Hospital, Madison, WI 53706, USA.

A 2-month-old male Holstein calf was presented for evaluation of a continuous systolic murmur. A grade V/VI left basilar continuous murmur and a grade IV/VI right basilar continuous murmur was auscultated upon evaluation with increased respiratory effort, wheezes, and crackles. Multimodality diagnostics were performed on this patient for further workup and included transthoracic and transesophageal echocardiography, fluoroscopy guided angiography, and gross necropsy with histopathology. Read More

View Article and Full-Text PDF

A case report of pulmonary artery sling and situs inversus incompletes.

Medicine (Baltimore) 2021 Jan;100(3):e24021

Department of Neonatology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, Zhejiang Province, China.

Rationale: Pulmonary artery sling (PAS) is a rare congenital anomaly. Associated airway anomalies and/or those of the cardiovascular system are present in about half the patients. Situs inversus is a rare disease in which organs of the chest and/or abdomen are arranged in a mirror image reversal of their normal position. Read More

View Article and Full-Text PDF
January 2021

Successful management of heart failure 45 years after surgical correction of tetralogy of Fallot.

J Cardiol Cases 2021 Feb 20;23(2):76-79. Epub 2020 Oct 20.

Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

A 59-year-old Japanese woman was admitted with heart failure due to severe pulmonary regurgitation and tricuspid regurgitation, in addition to atrial fibrillation 45 years after surgical correction of tetralogy of Fallot (TOF). She had been under treatment with medication and catheter ablation for arrhythmia including ventricular tachycardia for the past 28 years. She underwent pulmonary valve replacement as well as tricuspid and mitral valvuloplasty, which obviously improved her status even though her right ventricular end-diastolic volume index exceeded the recommended threshold. Read More

View Article and Full-Text PDF
February 2021

Double-Outlet Right Ventricle in a Chianina Calf.

Animals (Basel) 2021 Jan 27;11(2). Epub 2021 Jan 27.

Department of Veterinary Medicine, University of Perugia, Via San Costanzo 4, 06126 Perugia, Italy.

Congenital heart defects have been occasionally reported in cattle and ventricular septal defect represents the most frequently encountered anomaly. The double-outlet right ventricle is a rare congenital ventriculoarterial malformation reported only in certain cattle breeds. We describe this rare and complex congenital cardiac malformation observed in a 10-day-old male Chianina calf. Read More

View Article and Full-Text PDF
January 2021

A case of a complete atrioventricular canal defect in a ferret.

BMC Vet Res 2021 Jan 22;17(1):45. Epub 2021 Jan 22.

Department of Internal Medicine, Uludag University Faculty of Veterinary Medicine, Bursa, Turkey.

Background: Atrioventricular canal defect is a rare congenital disorder of the heart and describes the presence of an atrial septal defect, a variable presentation of ventricular septal alterations including ventricular septal defect malformations in the mitral and tricuspid valves. The defect has been described in human beings, dogs, cats, pigs, and horses.

Case Presentation: This paper describes the case of a complete atrioventricular canal defect in a four-year-old intact male pet ferret (Mustela putorius furo), which was presented due to posterior weakness, ataxia, and decreased appetite. Read More

View Article and Full-Text PDF
January 2021

Mapping catheter-related mitral valve injury: a case report.

Eur Heart J Case Rep 2020 Oct 18;4(5):1-6. Epub 2020 Sep 18.

Department of Cardiology, South Warwickshire NHS Foundation Trust, Lakin Road, Warwick CV34 5BW, UK.

Background: An increasing number of catheter ablations are performed for symptomatic tachyarrhythmias and commonly involve the left atrium, increasing the risk of catheter interaction with the mitral valve (MV) complex. Mitral valve trauma at the time of atrial fibrillation (AF) ablations remains a rare yet emergent situation that requires prompt diagnosis and management to prevent the long-term sequelae of heart failure secondary to MV dysfunction.

Case Summary: We present a case of a 69-year-old female with symptomatic paroxysmal AF and atrial flutter who underwent a combined ablation procedure. Read More

View Article and Full-Text PDF
October 2020

Screening for aortic stenosis using physical examination and echocardiography.

Authors:
Yukio Abe

J Echocardiogr 2021 Jan 7. Epub 2021 Jan 7.

Department of Cardiology, Osaka City General Hospital, 2-13-22 Miyakojima-hondori, Miyakojima-ku, Osaka, 534-0021, Japan.

Most patients with aortic stenosis (AS) can be treated with either traditional surgical aortic valve replacement or newly emerged transcatheter aortic valve implantation. Therefore, the early and appropriate detection of significant AS has become more important for avoiding overlooking patients who require treatment. AS is initially detected by the presence of a systolic ejection murmur (SEM). Read More

View Article and Full-Text PDF
January 2021

Surgical Management and Outcomes of Homozygous Familial Hypercholesterolemia in Two Cousins: A Rare Case Report.

Cureus 2020 Nov 25;12(11):e11692. Epub 2020 Nov 25.

Cardiology, King Abdulaziz Cardiac Center, King Abdulaziz Medical City, Ministry of National Guard - Health Affairs, Riyadh, SAU.

Homozygous familial hypercholesterolemia (HoFH) is a rare life-threatening condition characterized by high levels of low-density lipoprotein (LDL) cholesterol in the blood, which increases a person's risk of developing early atherosclerotic cardiovascular disease (ASCVD). In this report, we present two cases of related patients with aortic stenosis and mitral regurgitation as complications of HoFH. We also discuss the surgical interventions they underwent and their outcomes. Read More

View Article and Full-Text PDF
November 2020

Implementation of programmed cell death in circulating neutrophils and its special characteristics in experimentally induced hyperhomocysteinemia in a setting of thyroid dysfunction.

Pol Merkur Lekarski 2020 Dec;48(288):437-442

National Pirogov Memorial Medical University, Vinnytsya, Ukraine.

Cardiovascular (CV) disease continues to be the main cause of morbidity and mortality in worldwide. Hyperhomocysteinemia (HHCy) is a novel metabolic risk factor of vascular damage. In addition to that, there is evidence that HHCy management with folic acid and vitamin B supplements prevents atherosclerosis and its sequelae. Read More

View Article and Full-Text PDF
December 2020

Mitral valve dysplasia in eight English Springer Spaniels.

J Vet Cardiol 2021 Feb 28;33:52-60. Epub 2020 Nov 28.

Cardiology Service, Small Animal Teaching Hospital, Institute of Veterinary Science, University of Liverpool, Neston, CH64 7TE, UK.

Introduction: To describe the signalment, physical examination, and echocardiographic findings of a series of English Springer Spaniels (ESSs) diagnosed with congenital mitral valve dysplasia (MD).

Animals: Eight client-owned ESSs with congenital MD referred for murmur investigation and/or suspected congestive heart failure (CHF).

Materials And Methods: Retrospective case series. Read More

View Article and Full-Text PDF
February 2021

Cor triatriatum dexter associated to Ebstein anomaly with tricuspid double lesion and atrial septal defect.

Arch Cardiol Mex 2020 Dec 21. Epub 2020 Dec 21.

Department of Nuclear cardiology, National Institute of Cardiology Ignacio Chávez, Mexico City; Department of Echocardiography, ABC Medical Center, I.A.P, Mexico City, Mexico.

Female 23-year-old patient with heart murmur diagnosed in the first year of life. She attended to our institute with progressive dyspnea and palpitations of 7-month evolution. Physical examination showed perioral and distal cyanosis with digital clubbing, oxygensaturation of 79%, jugular plethora, arrhythmic heartsounds of upper limbs, fixed second heart sound, systolic tricuspid murmur, and edema. Read More

View Article and Full-Text PDF
December 2020

Chronic Enteropathy Associated with SLCO2A1 with Pachydermoperiostosis.

Intern Med 2020 15;59(24):3147-3154. Epub 2020 Dec 15.

Department of General Internal Medicine, Saitama Medical University, Japan.

A 49-year-old man complained of chronic palpitation and shortness of breath, which had recently become exacerbated. A blood examination indicated severe refractory anemia and hypoproteinemia. Physical examinations revealed anemia, a systolic murmur, and spoon nails. Read More

View Article and Full-Text PDF