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29 Possible Causes for Absent Apical Impulse

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  • Pericarditis

    apical impulse, and distant heart sounds.[] […] inflammation has caused accumulation of fluid in the pericardial sac, the doctor may note changes in sounds produced by the heart - increased cardiac dullness, diminished or absent[]

  • Chylothorax

    Yellow nail syndrome is a rare condition considered secondary to functional anomalies of lymphatic drainage. Yellow nail syndrome is diagnosed through the triad of intrathoracic findings (30% being pleural effusions), nail discoloration, and lymphedema, with any two features sufficient for diagnosis. We report the[…][]

  • Chronic Constrictive Pericarditis

    Constrictive pericarditis (CP) is a rare clinical entity that can pose diagnostic problems. The diagnosis of CP requires a high degree of clinical suspicion. The gold standard for diagnosis is cardiac catheterization with analysis of intracavitary pressure curves, which are high and, in end diastole, equal in all[…][]

  • Myxedema

    Hypothyroidism is a common medical problem easily treated when diagnosed but requiring regular follow-up and patient medication compliance. At times, this diagnosis can go untreated resulting in the development of severe consequences such as Myxedema Coma. Of all the clinical symptoms, cardiovascular manifestations[…][]

  • Lymphocytic Myocarditis

    The prognosis of patients with lymphocytic myocarditis (LM) is poor with the combined endpoint of death or transplant in the Myocarditis Treatment trial being 56% at 5 years. Physicians often have difficulty determining the prognosis in an individual patient. Patients with LM may have ongoing myocardial inflammation.[…][]

  • Cardiac Tamponade

    BRAF and MEK inhibitors (BRAF/MEKi) are targeted therapy for proto-oncogene BRAF mutated metastatic unresectable melanoma. Compared to monotherapy, an increased cardiovascular toxicity is reported with the combination of Dabrafenib and Trametinib. This case report documents Grade 4 cardiac treatment emergent[…][]

  • Pleural Disorder

    From Wikipedia, the free encyclopedia Pleural content anomalies [ edit ] Pneumothorax : a collection of air within the pleural cavity, arising either from the outside or from the lung. Pneumothoraces may be traumatic, iatrogenic , or spontaneous. A tension pneumothorax is a particular type of pneumothorax where the[…][]

  • Mitral Valve Stenosis

    Mitral stenosis is a valvular heart disease characterized by the narrowing of the orifice of the mitral valve of the heart . [1] Signs and symptoms [ edit ] Illustration of mitral stenosis, with close-up on mitral valve Signs and symptoms of mitral stenosis include the following: Heart failure symptoms, such as[…][]

  • Pleurisy

    We recently reported that pleural fluid mononuclear cells (PFMCs) from tuberculous pleurisy stimulated with Bacillus Calmette-Guérin (BCG) or TB antigens produced high levels of cytokines. However, it was still unclear what mechanism of the PFMCs used to migrate into the pleural fluids in TB infection. In the present[…][]

  • Addison's Disease

    Autoimmune disease is one of the leading causes of morbidity and mortality worldwide. In Addison's disease, the adrenal glands are targeted by destructive autoimmunity. Despite being the most common cause of primary adrenal failure, little is known about its aetiology. To understand the genetic background of[…][]

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