Murmur of HOCM or asymmetric septal hypertrophy (ASH)
- louder with decreased venous return, as in standing from a squatting position
- softer with increased venous return, as in straining during a Valsava maneuver
Posted 12/23/16 04:06:51 PM by Anna Krigel
AKI in volume overload/RH failure
- venous congestion (+/- intra-abdominal pressure) ->
- increased intra-renal interstitial pressure ->
- decreased perfusion pressure ->
- decreased filtration gradient
Posted 12/23/16 04:08:18 PM by Anna Krigel
- with normal afterload - RV infarction, arrhythmogenic RV dysplasia
- with increased afterload - LV dysfunction, PE, mitral stenosis, congenital heart disease (TOF), OSA
- with volume overload - tricuspid disease, ASD/VSD (L->R shunt)
Posted 12/23/16 04:11:24 PM by Anna Krigel
- Primary causes - rheumatic heart disease, endocarditis, congenital (Ebstein's anomaly)
- RV dysfunction ("functional") - RV infarction, pulmonary HTN
Posted 12/23/16 04:13:28 PM by Anna Krigel
Created by Christopher Kelly
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