Acquired Continuous Murmur Associated with Acute Pulmonary Thromboembolism

ZuWallack, Richard; Liss, Joseph P.; Lahiri, Bimalin

doi:10.1378/chest.70.4.557

Cited by 17 publications

(15 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Low‐pitch systolic murmur heard at the base of the heart with normal heart valves on echocardiography in the context of pulmonary embolism has been reported but not known by many medical practitioners . We report a similar low‐pitch systolic murmur heard at the base of the heart in two patients in sub‐Saharan Africa, with contrast‐enhanced CT scan confirmed pulmonary embolism and normal heart valves at echocardiography.…”

Section: Discussionmentioning

confidence: 60%

“…We report two cases of peripheral low‐pitch systolic ejection murmur at the base of the heart in two patients in whom there was no evidence of valvular stenosis on echocardiography in the context of confirmed pulmonary embolism on CT scan. Such murmurs have been reported elsewhere, and its occurrence is not widely recognized . We highlight the importance of detecting this murmur, which we think is clinically important in low‐income settings.…”

Section: Introductionmentioning

confidence: 69%

See 1 more Smart Citation

Low‐pitch peripheral systolic murmur associated with pulmonary embolism in the acute phase: a report of two cases

Jingi

Amougou

Jemea

et al. 2018

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 60%

Section: Introductionmentioning

confidence: 69%

Low‐pitch peripheral systolic murmur associated with pulmonary embolism in the acute phase: a report of two cases

Jingi

Amougou

Jemea

et al. 2018

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

“…The presence of a pulmonary artery bruit, which is best heard over the mid back with the patient holding his or her breath, suggests the presence of pulmonary artery narrowing, due to either CTEPH or another proximal vascular abnormality [22]. Thus, physical exam may raise the suspicion of CTEPH but is not adequate to confirm or exclude the disease.…”

Section: Clinical Presentationmentioning

confidence: 99%

Chronic Thromboembolic Pulmonary Hypertension: the End Result of Pulmonary Embolism

Witkin

Channick

2015

Curr Cardiol Rep

View full text Add to dashboard Cite

Chronic thromboembolic pulmonary hypertension (CTEPH) occurs when a pulmonary embolism fails to undergo complete thrombolysis leading to vascular occlusion and pulmonary hypertension. Despite the fact that CTEPH is a potential consequence of pulmonary embolism, diagnosis requires a high degree of vigilance as many patients will not have a history of thromboembolic disease. The ventilation perfusion scan is used to evaluate for the possibility of CTEPH although right heart catheterization and pulmonary artery angiogram are needed to confirm the diagnosis. Pulmonary thromboendarterectomy is the first-line treatment for patients who are surgical candidates. Recently, riociguat has been approved for patients with nonsurgical disease or residual pulmonary hypertension despite surgical intervention. This review describes the pathophysiology, risk factors, diagnosis, and management of CTEPH.

show abstract

“…Egzersiz dispnesi, halsizlik ve fonksiyonel kapasite azlığı, egzersiz göğüs ağrısı, egzersiz ile presenkop-senkop, boyun ven dolgunluğu, güçlü sağ ventrikül vurusu, triküspit ve pulmoner yetersizlik, pulmoner akım üfürümü, hepatomegali, alt ekstremite ödemi görülebilen semptom ve belirtiler arasında sayılabilir (15). Fizik muayene bulguları arasında sayılan ve özellikle periferik akciğer alanları üzerinde kısmen tıkalı damarların olduğu bölgelerde duyulan türbülan akım üfürümü KTEPH için patognomonik kabul edilir (16). Hastaların yaklaşık %10'nunda görüldüğü bildirilmektedir.…”

Section: Tanıunclassified

Chronic thromboembolic pulmonary hypertension: diagnosis, medical therapy and monitoring

Gölbaşı¹

2010

Anadolu Kardiyol Derg

View full text Add to dashboard Cite

Chronic thromboembolic pulmonary hypertension (CTEPH) is caused by obstruction of the large pulmonary arteries by acute and recurrent pulmonary emboli with subsequent organization of these blood clots. Because of a lack of clinically evident acute-pulmonary embolism episodes in >50% of patients, the diagnosis of CTEPH can be difficult. Lung ventilation/perfusion scintigraphy showing segmentary mismatched perfusion defects is the best diagnostic tool to detect CTEPH. Although pulmonary endarterectomy is considered the treatment of choice for patients with CTEPH, it can not be performed in a substantial proportion of patients. Medical therapies have been increasingly used in subcategories of CTEPH patients. (Anadolu Kardiyol Derg 2010; 10: Suppl 2; 56-60) Key words: Pulmonary embolism, pulmonary hypertension, chronic thromboembolic pulmonary hypertension ÖZETKronik tromboembolik pulmoner hipertansiyon (KTEPH), akut ve yineleyen pulmoner emboliler ve bunların organize olması sonucu büyük pulmoner arterlerin obstrüksiyonu ile oluşur. Hastaların %50'den fazlasında klinik olarak belirti veren akut pulmoner emboli atağının bulunmayışı sebebiyle KTEPH tanısı zor olabilir. KTEPH'nun tespitinde ventilasyonla uyumsuz segmental perfüzyon defekti bulunan akciğer ventilasyon/perfüzyon sintigrafisi en iyi tanı aracıdır. KTEPH'lu hastaların tedavisinde pulmoner endarterektomi (PEA) en iyi tedavi seçeneği olarak görülmekle birlikte, hastaların önemli bir bölümünde yapılamayabilir. KTEPH'lu hastaların bazı alt gruplarında tıbbi tedavi giderek daha artan oranda kullanılmaktadır.

show abstract

Acquired Continuous Murmur Associated with Acute Pulmonary Thromboembolism

Cited by 17 publications

References 8 publications

Low‐pitch peripheral systolic murmur associated with pulmonary embolism in the acute phase: a report of two cases

Low‐pitch peripheral systolic murmur associated with pulmonary embolism in the acute phase: a report of two cases

Chronic Thromboembolic Pulmonary Hypertension: the End Result of Pulmonary Embolism

Chronic thromboembolic pulmonary hypertension: diagnosis, medical therapy and monitoring

Contact Info

Product

Resources

About