Systolic heart murmur Puns

Hi everyone,

Hope everyone is keeping safe in these times.

Here is the required info I have at the moment:

Species: Dog Age: 7weeks Sex: Male not neutered yet Breed:Poochon/Bichpoo Body weight: unknown History: no history Clinical signs: none at all Location: UK

I am bringing a puppy home next week and he had his first jab and check up yesterday. He is one of a litter of 7 puppies. The breeder contacted me to let me know that the vets weren't worried but at the checkup two of the puppies (my one included) had a slight murmur that was picked up and it is something they want to check at the pups next jab, but it is likely to disapear as time goes on. As I asked more questions I found out it was a low systolic murmur. Now as you can imagine I obviously started panicking and reading on Google (I am sorry please don't judge me) I have met the puppy and he is very energetic, loving, has a shiny coat, good eyes and ears and is very responsive so in general he seems very healthy. I am just concerned about his heart. I have contacted the vets who are going to call me on Monday I just wanted some reassurance in the meantime. Surely if the vets were concerned they would be honest? They aren't worried as they think it's likely where he is so young and it's very common in pups growing fast. I am more afraid of him having a big heart problem that would put him in pain for the rest of his life. I don't want to give up on him either way. I just would like some reassurance from some experts with an awareness around this.

Thanks so much in advance.

Ella is a 9 year old spayed tabby cat, 10lbs in Central Florida. We've been fighting skin allergy issues for 2 years with the help of our vet and a vet dermatologist. Ella is an indoor cat. When this issue first arose, we attacked it from several angles. Negative for fleas, negative for mites. She had a Seresto collar normally but we switched to Bravecto to see if that would help in case there were mites we didn't detect, no change. Fungal culture of her skin lesions was negative. House air environmental test was clear. We went through 6 months on an exclusive Royal Canin hydrolyzed protein diet and ruled out food allergy as the cause. We tried adding 1/2 a Zyrtec for a day, no change. At the dermatologist, Ella tested positive for allergies to several tree and weed species in our area as well as a couple species of mold. We went through 6 weeks of a tailored vaccine trial, her itchy spots kept getting worse and worse, but when we stopped the vaccine at the end of the trial they cleared completely for a short while with just Tresaderm. Over the next year, Tresaderm was used to manage the recurring spots, as well as occasional use of a tapering dose of Prednisolone with mild success of knocking back the spots but never completely eliminating them. When they got really bad she'd get a shot of Convenia and a shot of Depo-Medrol- that combination was magic for her and always cleared up her spots completely for months.

Last September Ella went through acute kidney failure and survived. We're not 100% sure of the cause, most probable is a bladder infection but the emergency vet didn't culture the urine so we don't know. Eventually her blood kidney values came down to the high end of normal, and she was concentrating her urine at the low end of normal, but the vet specialist picked up a grade I/VI systolic heart murmur that is only sometimes heard.

Poor Ella is itchy again. We tried Tresaderm and a course of tapering Prednisolone, but it's not touching her spots. Last time I took her to the vet, she said Depo-Medrol was off the table because of the heart murmur. We are trying a different vet today since I can't get in to our normal vet due to reduced covid hours.

Does anyone have any suggestions on anything I can ask the new vet about when I bring her in? Any course of treatments we haven't tried that could be safer for my kitty than Depo?

I'm only on episode two right now but when she points that ear machine at herself I think I'm hearing an early systolic murmur. Though to be fair I'm just an inexperienced med student, still I was wondering if that was in any way significant.

I understand why it nwould cause fixed splitting, but I don't know why it causes the other things.

During systole, the atria arent contracting so i would imagine there's a lack of force that would generate the turbulent flow.

Is there a resource that gives the mechanisms of what causes these murmurs/sounds? UFAPS seems to be lacking in this area. Lily's is a lot more thorough but still doesnt seem to cover everything.

The popular ARMS PaRTS mnemonic only includes diastolic murmurs so I created a systolic murmur mnemonic and combined the two mnemonics into one image. Moreover, I added images to help with recall.

Systolic and Diastolic Murmurs Mnemonics

I hope this helps.

I was listening to the University of Michigan's heart sound library to get better at identifying murmurs, and these two sound damn near indistinguishable to me.

21 y.o. male, 5'11", 140 lbs, Caucasian, not taking medications.

I visited the doctor last week in regard to a swollen lymph node that hasn't gone away, and, during a regular examination, the doctor noticed that he heard what might be a systolic murmur. No doctors in the past have noticed this, but the doctor mentioned that sometimes a systolic murmur can be misheard if the patient just has a strong heartbeat.

I was taking a look at my reported vitals and noticed that my measured blood pressure (both systolic and diastolic) were around 20 Hg lower than the several last times that had been measured. The last six visits to the doctor where blood pressure was measured put my BP around 117/65. (Note: these last six visits were between 1/1/2016 and 7/14/2017, so my heart health may have changed since then?). Here's a handy chart: https://imgur.com/a/EHpZqdO The most recent visit (to my new doctor) was a 96/52. The appointment was at 9:00 AM (which from what I've read, if you'll excuse my ridiculous hypochondria, is when your BP should be the highest during the day).

I have a family history of high blood pressure on my dad's side.

I've just switched doctors, so I'm not sure if they've received/looked at my health records yet.

I'm no doctor, so, for all I know, the systolic murmur and my systolic BP could be unrelated/coincidental. But I would bet they're not, and I'm feeling impatient and have been pretty anxious in regard to my health recently, so I'd love to know if this is something I don't need to worry about.

Hello! My dad had a silent heart attack a year ago that we didn't know. During his recent routine physical exam and during an echocardiogram, they figured out that he must have had one during COVID and his left ventricular EF is at 45-50%. He saw a cardiologist today that confirmed that he had a heart attack last year and the diagnosis is that he has left ventricular systolic dysfunction (mildly). He has no symptoms whatsoever, no pain or difficulty breathing. He also is skinny and walks three miles a day.

I keep reading this terrible stuff about left ventricular systolic dysfunction and how it cannot be reversed. I had hoped that with meds + VEGAN plant based diet + constant cardio exercise he could go back to full heart functionality. I am praying for good news - that his heart is not permanently damaged but it may be?

Has anyone at 60 had this diagnosis of a left systolic dysfunction and silent heart attack? He's already so healthy. Other than oil in curries, dairy/yogurt + fish + chicken consumption, idk how much more he can change his diet either. I guess completely vegan and no oil will make a big diff (I hope).

Does anyone else have mild left venticular systolic dysfunction that is onset by a silent heart attack? Anyone who has lived decades after?! What can I expect? Life expectancy and can he reach his 80s!

Should I be on alert about him having another one despite blood pressure and cholesterol meds + exercise + no oil/salt diet

Hey guys,

Despite my best efforts, I am in general an anxious person, and controlling stress is an ongoing battle for me. In the past, I have had some high BP readings when going to the Doctor, but nothing that would cause severe worry, usually in the 130's and sometimes 140's, typically chalked up to anxiety from being at the Dr.

I am a man of 28 years, a healthy weight with relatively low body fat (6'3 210 lbs), I have stopped drinking entirely for 3 months after being a daily moderate drinker for several years (2-5 drinks a day), I have not smoked in 7 years after smoking for a couple years in my late teens/early twenties, I eat a balanced diet with relatively low amounts of junk food and saturated and trans fats, and I exercise almost every day (I can run a mile in just over 7 minutes, my cardiovascular fitness is pretty good). My resting heart rate is about 50-55 BPM, and general heart rate around 70-75 BPM if I'm not exerting myself.

But today, I went in for a physical and had 2 high systolic readings, I believe they were 147/74 and 144/72. The Dr expressed surprise that I would have such readings, as I am young and fit and have no known heart conditions that would cause this. I admitted I get anxiety when visiting the Dr, so he recommended heading to the pharmacy a few times throughout the day to take BP readings, and if my BP is consistently above 140 when I'm not stressed at the clinic, to call him.

Well due to Covid, all the pharmacies aren't letting people use the BP monitors, so I decided to drop $65 and grab one from Walmart. I've been taking lots of readings for the rest of the day, and here are the readings so far:

These were all taken at rest, sitting. I started recording the pulse rate too halfway through.

140/79

119/67 (this was taken about 10 minutes after finishing a large dinner)

139/73

145/77

145/66 Pulse rate 50 BPM

132/79 Pulse rate 52 BPM

148/84 Pulse rate 51 BPM

I take 3 readings and average them, so some of the Systolic readings were even over 150 (I think my highest was 158!)

I am going to call him back after taking readings at least every 2 hours tomorrow so I have good data. But I wanted to throw it at a couple medical sub reddits to see what people's opinions are about this. I have never had a hypertensive crisis or anything where I've fainted or anything like that before, and I don't get nosebleeds or frequent headaches like I understand many with High BP do. I am a bit of a stresser, as

Hello all. Suffered a transient ischemic brain attack on 1/27. Diagnosed with the above. Cardioversion did not work. Ablation scheduled for 4/9. Was told if that doesn't work, good chance they would fit me with a defibrillator. Reading these posts it seems like medication works. Anyone fitted with a defibrillator? If so, why?

I’m 28, 6’3 and 180 pounds. I was just diagnosed two weeks ago with cardiomyopathy, and the MRI is also showing signs of systolic heart failure. LVEF on an echo showed 49% with reduced RV systolic function. Doctor ordered an MRI after that, about 20 days later, and the MRI showed LVEF-39% (normal 55-75%) and RVEF- 42% (normal 52%). I’m on 12.5 mg of toprol-xl and trying to exercise but I am having a hard time with that, per usual. I was misdiagnosed with POTS at 23, they just did one test, looked at my age and weight and assumed it was POTS because I’m so young and not overweight. I always knew it was something deeper but hadn’t had any luck getting doctors to take me seriously until I just moved to Colorado a few months ago. I also have an ostomy bag due to a malfunctioning colon. People (especially doctors) keep telling me I’m too young for these issues and I agree, I don’t feel it’s fair but I’m gonna keep fighting! Going to Mayo in a couple weeks, thankfully. Anyone else get diagnosed this young? I’d appreciate any insight and stories!

Edit: BNP is within normal limits, but it’s still being treated as systolic heart failure since my EF is considered moderately reduced? Doctor is also stumped how it decreased so much between the echo and the MRI in such a short amount of time

I have a heart murmur, that is classified as innocent, it has never restricted me physically in my 17 years of life, never had been an issue, it’s just a sound in my chest, can I still join the marines? I’m worried that I may not be able too.

He is very lean and healthy otherwise. (15 lb) Can someone please tell me this happened to them and their baby lived a long and healthy life?

Hi, someone I know rescued a chihuahua after it was posted online by someone who saw it wandering outside in poor conditions, barely able to walk. Three hours later another person still saw the dog on the sidewalk, gave it some food and water, then too it to a vet. It had no tags and no chip. The vet recommended an emergency clinic because the dog was in such poor condition. They surrendered the dog to the clinic. The lady I know took responsibility of the dog so she'd have someone to care for her and a home to go to. She was billed $1000 so far in tests and treatments. She said the dog was so hungry, but had periodontal disease (which was why her tongue was hanging out all the time) and the vet said eating was likely very painful for her.

The owners began posting online claiming their dog was let out for a few minutes and some people lured her away and stole her. They claim the dog is "just old" and has nothing wrong with her other than a bit of hair loss on her ears and no appetite, which was why she was so malnourished. Her ears are almost black from how burned and scabby they are, and she has a great appetite but just can't eat much because of her mouth.

The lady who has the dog repeatedly told them to contact her. They eventually did and were given her address, and next thing she knows a cop is at her door demanding she give him the dog. She handed the dog over.

I've known people have their dogs straight up stolen and cops have said they cannot get involved as it is a civil matter that needs to go through a court. I also saw someone comment that the owner legally has to reimburse the vet fees to the rescuers before they can claim their dog back. Is this true? Can anyone point me to the penal codes that cover issues like this? Thanks!

Picture of the dog so you can really get an idea of what they were dealing with.

I'm trying to find out if anybody has successfully joined the military with a heart murmur & which branch.

Doctors ordered an echo today to check out the soft murmur they are hearing. I really hope it's nothing. Anyone have experience?

It's been 7 years of doctors telling me it's anxiety. 7 years of heart skipping beats and blacking out and being told it was all in my head.

I finally said fuck you to my primary care doctor and went to a cardiologist. There they diagnosed me with POTS and a heart murmur.

I'm glad I'm not crazy but also mad it took so long

How do you know if what you have is a heart murmur and what's the procedure?

Is there any way to learn the murmurs of heart and their underlying causes in an easy way. I have been trying to learn it but to no avail. If someone knows any trick on how to attempt questions relating to murmurs do share.

So, I've been on 5mg for about 2 weeks now and I gotta tell you I've seen huge improvement. I began taking lexapro when my work life started to effect my personal life (medical assistant, severely understaffed.) Also have a family history of anxiety and depression, also diagnosed with ADHD, I get seriously overwhelmed when 3 things happen at once, which happens a lot at my job.

I got the EKG, prior to the EKG my cardiologist says I was borderline prolonged qt intervals - now after I get the EKG says my intervals have markedly improved. Thing is, I know that prolonged qt intervals can happen and I'm terrified to go up to 10mg which my Psychiatric NP wants me to do. (I was only given a week of 5 and then up to 10...I've been cutting them in half)

I know everyone is different, I'm wondering if there's anyone else with heart murmurs who are on lexapro?

Hello! My dad had a silent heart attack a year ago that we didn't know. During his recent routine physical exam and during an echocardiogram, they figured out that he must have had one during COVID and his left ventricular EF is at 45-50%. He saw a cardiologist today that confirmed that he had a heart attack last year and the diagnosis is that he has left ventricular systolic dysfunction (mildly). He has no symptoms whatsoever, no pain or difficulty breathing. He also is skinny and walks three miles a day.

I keep reading this terrible stuff about left ventricular systolic dysfunction and how it cannot be reversed. I had hoped that with meds + VEGAN plant based diet + constant cardio exercise he could go back to full heart functionality. I am praying for good news - that his heart is not permanently damaged but it may be?

Has anyone at 60 had this diagnosis of a left systolic dysfunction and silent heart attack? He's already so healthy. Other than oil in curries, dairy/yogurt + fish + chicken consumption, idk how much more he can change his diet either. I guess completely vegan and no oil will make a big diff (I hope).

Does anyone else have mild left venticular systolic dysfunction that is onset by a silent heart attack? Anyone who has lived decades after?! What can I expect? Life expectancy and can he reach his 80s!