Create issue ticket

17 Possible Causes for Absent Apical Impulse, Diminished Heart Sounds

  • Cardiac Tamponade

    , and diminished heart sounds) Cold, clammy extremities Anxiety, restlessness Diagnosis Blood tests EKG, Chest X-ray Cardiac ECHO Treatment Oxygen IV fluids Medications to[cardiachealth.org] heart sounds.[emedicine.medscape.com] Acute tamponade leads to increased jugular venous pressure (JVP) - Beck's triad: jugular venous distension, hypotension and diminished heart sounds - rarely seen.[patient.info]

  • Chronic Constrictive Pericarditis

    Signs may include hypotension, elevated jugular venous pressure (JVP) and diminished heart sounds (Beck's triad or acute compression triad described in 1935 with cardiac tamponade[patient.info]

  • Pericardial Effusion

    On physical examination classical signs include neck vein distention with elevated jugular venous pressure at bedside examination, pulsus paradoxus, and diminished heart sounds[eurheartj.oxfordjournals.org] On auscultation, heart sounds were found to be diminished.[casesjournal.biomedcentral.com]

  • Myocardial Infarction

    Heart On palpation, lateral displacement of the apical impulse, dyskinesis, a palpable S 4 gallop, and a soft S 1 sound may be found.[emedicine.medscape.com] These signs indicate diminished contractility of the compromised left ventricle.[emedicine.medscape.com]

  • Acute Myocardial Infarction

    Heart On palpation, lateral displacement of the apical impulse, dyskinesis, a palpable S 4 gallop, and a soft S 1 sound may be found.[emedicine.medscape.com] These signs indicate diminished contractility of the compromised left ventricle.[emedicine.medscape.com]

  • 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[…][ncbi.nlm.nih.gov]

  • Addison's Disease

    Addison's disease (AD) has been associated with an increased risk of cardiovascular disease. Glucocorticoid receptor polymorphisms that alter glucocorticoid sensitivity may influence metabolic and cardiovascular risk factors in patients with AD. The 9β polymorphism of the glucocorticoid receptor gene is associated[…][ncbi.nlm.nih.gov]

  • Obesity

    Liposarcoma is the most common soft tissue sarcoma in adults. Predominant locations are the limbs and retroperitoneum. Intra-abdominal liposarcoma represents only 2% of all cases and visceral location is exceptional. Gastric liposarcoma is extremely rare, with fewer than 20 cases reported. The treatment of choice is[…][ncbi.nlm.nih.gov]

  • Pneumothorax

    Pneumothorax can cause a variety of electrocardiographic changes. ST segment elevation, which is mainly observed in myocardial infarction, can also be induced by pneumothorax. The mechanism is presumed to be a decrease in cardiac output, due to increased intra-thoracic pressure. We encountered a patient with ST[…][ncbi.nlm.nih.gov]

  • Chronic Obstructive Pulmonary Disease

    Pulmonary hypertension secondary to respiratory disease most often occurs as a complication of chronic obstructive pulmonary disease, which currently constitutes one of the leading causes of death. Some patients with hypoxaemia reveal "out of proportion" pulmonary hypertension with inappropriate increase of[…][ncbi.nlm.nih.gov]

Further symptoms