Pulmonary Stenosis
July 1st, 2020
Overview
Pulmonary stenosis manifests as an ejection systolic murmur heard loudest over the pulmonary area on inspiration, and may be associated with a split S2 and S4.
Signs of Pulmonary Stenosis
Peripheral Signs
- Prominent a wave within the jugular venous pressure
Central Signs
- Parasternal heave
- Splitting of the second heart sound (S2)
- Presence of a fourth heart sound (S4)
- Ejection systolic murmur best heart in the pulmonary area on inspiration
Signs of Complciations
- Evidence of right heart failure - raised JVP, ascites, pleural effusions, peripheral oedema
Causes of Pulmonary Stenosis
- Congenital - rubella, Noonan's syndrome, William's syndrome, tetralogy of Fallot
- Carcinoid syndrome
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