Continuous murmur

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Template:Continuous murmur Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Twinkle Singh, M.B.B.S. [2]

Overview

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.


Common Causes

Causes by Organ System

Cardiovascular abdominal aortic aneurysm, anemia, aortic coarctation, aortic-atrial fistulas,[1] arteriovenous fistula, arteriovenous malformation, atrial septal defect with mitral stenosis, carotid artery stenosis, celiac artery stenosis, cervical venous hum, coronary artery fistula , hepatic hum, lutembacher's syndrome, mammary souffle, mitral stenosis with a persistent left superior vena cava, patent ductus arteriosus, pulmonary atresia with ventricular septal defect, renal artery stenosis, ruptured aneurysm of sinus of valsalva, takayasu arteritis, total anomalous pulmonary venous drainage, tricuspid atresia, tricuspid regurgitation, truncus arteriosus
Chemical/Poisoning No underlying causes
Dental No underlying causes
Dermatologic
Drug Side Effect
Ear Nose Throat No underlying causes
Endocrine hyperthyroidism
Environmental No underlying causes
Gastroenterologic cirrhosis
Genetic
Hematologic anemia, hepatic hemangioma
'Iatrogenic arteriovenous fistula, cimino fistula, fistulous connection between an internal mammary graft and the pulmonary vasculature
Infectious Disease
Musculoskeletal/Orthopedic No underlying causes
Neurologic No underlying causes
Nutritional/Metabolic anemia
Obstetric/Gynecologic mammary souffle,pregnancy
Oncologic
Ophthalmologic No underlying causes
Overdose/Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal/Electrolyte No underlying causes
Rheumatology/Immunology/Allergy Acute febrile neutrophilic dermatosis, ANCA-associated vasculitides, ankylosing spondylitis, autoimmune vasculitis, Behçet's disease, capnocytophaga canimorsus, Churg-Strauss syndrome, Cogan syndrome, giant cell arteritis, IgG4-related systemic disease, juvenile rheumatoid arthritis, Kawasaki disease, microscopic polyangiitis, Ormond's disease, polyarteritis nodosa, psoriasis, reactive arthritis, Reiter's syndrome, relapsing polychondritis, retroperitoneal fibrosis, rheumatoid arthritis, scleroderma, spondylarthropathy, systemic lupus erythematosus, Takayasu arteritis, Wegener granulomatosis
Sexual No underlying causes
Trauma No underlying causes
Urologic No underlying causes
Miscellaneous Idiopathic isolated periaortitis, idiopathic isolated aortitis, sarcoidosis

Causes in Alphabetical Order

References

  1. 1.0 1.1 Jassal DS, Neilan TG, Hung J (2006). "A continuous murmur". Echocardiography. 23 (1): 60–1. doi:10.1111/j.1540-8175.2005.00112.x. PMID 16412186.
  2. 2.0 2.1 Motoki T, Hayashi T, Katoh Y, Sakamoto T, Takeda T, Murao S (1979). "Hepatic bruits in malignant liver tumors". Am J Gastroenterol. 71 (6): 582–6. PMID 222133.
  3. MACPHERSON AI, MORTON EV (1955). "Continuous venous hum in a case of portal cirrhosis". Br Heart J. 17 (1): 105–8. PMC 503892. PMID 13230354.
  4. Guray U, Guray Y, Ozbakir C, Yilmaz MB, Sasmaz H, Korkmaz S (2004). "Fistulous connection between internal mammary graft and pulmonary vasculature after coronary artery bypass grafting: a rare cause of continuous murmur". Int J Cardiol. 96 (3): 489–92. doi:10.1016/j.ijcard.2003.05.035. PMID 15301909.
  5. ZuWallack RL, Liss JP, Lahiri B (1976). "Acquired continuous murmur associated with acute pulmonary thromboembolism". Chest. 70 (4): 557–9. PMID 975962.