Sudden cardiac death physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sara Zand, M.D.[2] Edzel Lorraine Co, DMD, MD[3]

Overview

• Heart murmurs and some dermatologic manifestations are relevant in identification of patients who are vulnerable to have sudden cardiac death (SCD).
  • Mid-systolic click
  • Outflow tract murmurs during Valsalva maneuver
  • Dermatologic conditions
    • [[[Lupus pernio]]]
    • Erythema nodosum
    • Angiokeratoma
    • Xanthelasma/ Xanthoma
    • Palmo-plantar keratosis

Physical Examination

• Heart murmurs are relevant in identification of patients who are vulnerable to have sudden cardiac death (SCD). These include:
  • Mid-systolic click suggestive of mitral valve prolapse (MVP)
  • Outflow tract murmurs during Valsalva maneuver found in hypertrophic cardiomyopathy (HCM)
  • Pertinent dermatologic manifestations include:
    • Lupus pernio]
    • Erythema nodosum
    • Angiokeratoma
    • Xanthelasma/ Xanthoma
    • Palmo-plantar keratosis