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41 Possible Causes for Agitation, Pulsus Alternans

  • Heart Failure

    alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] Pulsus alternans is usually associated with an S 3 gallop, signifies advanced myocardial disease, and often disappears with treatment of heart failure.[emedicine.medscape.com] Signs There may be a tachycardia at rest, low systolic blood pressure (BP), a displaced apex (LV dilatation) or RV heave (pulmonary hypertension), a narrow pulse pressure or pulsus[patient.info]

  • Congestive Heart Failure

    alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] alternans Increased intensity of P 2 heart sound Hepatojugular reflux Ascites, hepatomegaly, and/or anasarca Central or peripheral cyanosis, pallor See Presentation for more[emedicine.com] Signs There may be a tachycardia at rest, low systolic blood pressure (BP), a displaced apex (LV dilatation) or RV heave (pulmonary hypertension), a narrow pulse pressure or pulsus[patient.info]

  • Pulmonary Edema

    Neurogenic pulmonary edema is suggested by her acute agitation.[professional.diabetes.org] Clinical presentation is classically the triad of breathlessness, sweating and agitation.[rcemlearning.co.uk] The patient is usually sitting, standing, or occasionally pacing in an agitated manner.[tele.med.ru]

  • Acute Myocardial Infarction

    A catheter was placed in the right atrium in front of the fossa ovalis, and agitated saline solution was injected while the anesthesiologist induced a Valsalva maneuver.[pediatrics.aappublications.org] B, During injection of agitated saline contrast into the RA with induced Valsalva maneuver, there is prompt passage of a larger amount of contrast (arrow) across the PFO into[pediatrics.aappublications.org]

  • Myocardial Infarction

    Hyperthermic complications Excessive cocaine use can result in hallucinations, agitation, and hyperthermia, and management is urgent.[doi.org] […] no established medical evidence of an intractable psychoneurotic disorder having particular regard for sustained hostile, aggressive, paranoid, or suicidal tendencies and agitated[gov.ns.ca] […] benzodiazepines (lorazepam, diazepam), calcium channel blockers (verapamil), morphine, and sublingual nitroglycerin may be used as needed to control hypertension, tachycardia, and agitation[doi.org]

  • Dilated Cardiomyopathy

    As the patient had no improvement with NIV and was becoming hypoxemic and agitated, she was given intravenous fentanyl and oral endotracheal intubation was performed.[doi.org] Pulsus alternans is an infrequent, complex pathophysiologic sign often associated with severe heart failure.[ncbi.nlm.nih.gov] Evaluation noted pulsus alternans, with beat-to-beat alternations in aortic pulse wave amplitude, both clinically and on diagnostic studies.[ncbi.nlm.nih.gov]

  • Cardiac Tamponade

    Although it was suspected that the unidentified mass adjacent to the right atrium had ruptured into the pericardium, administration of intravenous agitated saline did not[radcliffecardiology.com] Pulsus paradoxus was 20 mmHg. The electrocardiogram showed low-voltage QRS complex with electrical alternans.[ncbi.nlm.nih.gov] […] subacute/chronic cardiac tamponade. 5 Electrical alternans is present in less than 1/3 of patients with cardiac tamponade. 1 Pulsus paradoxus may occur in the setting of massive[emdocs.net]

  • Pericarditis

    The most common co-existing conditions in Pericarditis and stress are: Depression Pain Agitation Hypertension Hypotension Diabetes Schizophrenia Blood pressure Post-traumatic[pericarditispain.info] Patients also should be hospitalized if they have pulsus paradoxus, electrical alternans on the ECG, or a large pericardial effusion.[aafp.org] Echocardiography may be used to guide the needle as agitated saline is injected through it.[merckmanuals.com]

  • Fungal Myocarditis

    Cardiac tamponade which leads to: (1) Dyspnea (2) Agitation (3) Orthopnea (4) Cough d. Pericardial friction rub - occurs in less than 50% of patients.[atsu.edu] Once heart dysfunction sets in, signs of cardiac failure may manifest, such as pulmonary edema (fluid accumulation in the lungs), peripheral oedema, hypoxemia, pulsus alternans[medindia.net]

  • Alcoholic Cardiomyopathy

    Alcohol-related disruptions to the neurotransmitter balance also can trigger mood and behavioral changes, including depression, agitation, memory loss, and even seizures.[collegedrinkingprevention.gov] Leg elevation promptly reversed the pulsus alternans, and the echocardiographic abnormality.[ncbi.nlm.nih.gov] Application of a small dose of glyceryl trinitrate paste (0.25 in) resulted in severe left ventricular dysfunction with the appearance of pulsus alternans in a patient with[ncbi.nlm.nih.gov]

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