Pulmonic regurgitation differential diagnosis: Difference between revisions
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{{CMG}}, {{AE}} {{AKI}}, {{AA}} | {{CMG}}, {{AE}} {{AKI}}, {{AA}} | ||
==Overview== | ==Overview== | ||
The diseases which may present with overlapping symptoms as [[pulmonic regurgitation]] may include [[aortic regurgitation]], [[tricuspid regurgitation]], left to right shunting, right ventricular [[cardiomyopathy]], [[pulmonary hypertension]], [[infective endocarditis]], [[carcinoid]] heart disease, [[syphilis]] and [[marfan syndrome]]. | [[PR|Pulmonic regurgitation]] (PR) must be differentiated from other [[diseases]] that cause blowing [[Diastolic heart murmur|decrescendo murmur]] such as [[aortic regurgitation]]. The diseases which may present with overlapping symptoms as [[pulmonic regurgitation]] may include [[aortic regurgitation]], [[tricuspid regurgitation]], left to right shunting, right ventricular [[cardiomyopathy]], [[pulmonary hypertension]], [[infective endocarditis]], [[carcinoid]] heart disease, [[syphilis]] and [[marfan syndrome]]. | ||
==Differential diagnosis of pulmonic regurgitation== | ==Differential diagnosis of pulmonic regurgitation== |
Latest revision as of 21:57, 6 August 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2], Aysha Anwar, M.B.B.S[3]
Overview
Pulmonic regurgitation (PR) must be differentiated from other diseases that cause blowing decrescendo murmur such as aortic regurgitation. The diseases which may present with overlapping symptoms as pulmonic regurgitation may include aortic regurgitation, tricuspid regurgitation, left to right shunting, right ventricular cardiomyopathy, pulmonary hypertension, infective endocarditis, carcinoid heart disease, syphilis and marfan syndrome.
Differential diagnosis of pulmonic regurgitation
Pulmonic regurgitation (PR) must be differentiated from other diseases that cause blowing decrescendo murmur such as aortic regurgitation. The diseases which may present with overlapping symptoms as pulmonic regurgitation may include the following:
Disease | Findings |
---|---|
Aortic Regurgitation |
|
Tricuspid Regurgitation causing right vetricular enlargement |
|
Left to Right Shunt causing RV enlargement |
|
Arrhythmogenic Right Ventricular Cardiomyopathy |
|
Other differential diagnosis
- Pulmonary hypertension
- Infective endocarditis
- Rheumatic heart disease
- Congenital abnormalities: tetralogy of Fallot, ventricular septal defect, valvular pulmonic stenosis
- Carcinoid heart disease (the majority of patients with metastatic disease will have both pulmonic stenosis and pulmonic regurgitation)
- Marfan syndrome
- Syphilis infection
- Trauma from withdrawing a Swan-Ganz catheter with the balloon inflated
- Following valvuloplasty of pulmonary stenosis
- Absence of the pulmonic valve
- Fenestrations in or redundant leaflets of the pulmonic valve
References
- ↑ Template:Citejournal
- ↑ Sepulveda, G.; Lukas, D. S. (1955). "The Diagnosis of Tricuspid Insufficiency: Clinical Features in 60 Cases with Associated Mitral Valve Disease". Circulation. 11 (4): 552–563. doi:10.1161/01.CIR.11.4.552. ISSN 0009-7322.
- ↑ Zoghbi, W (2003). "Recommendations for evaluation of the severity of native valvular regurgitation with two-dimensional and doppler echocardiography". Journal of the American Society of Echocardiography. 16 (7): 777–802. doi:10.1016/S0894-7317(03)00335-3. ISSN 0894-7317.
- ↑ Graziosi M, Rapezzi C (2016). "Right ventricular arrhythmogenic cardiomyopathy: genetic and MR for modern clinical diagnosis". J Cardiovasc Med (Hagerstown). doi:10.2459/JCM.0000000000000470. PMID 27828830.