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19 Possible Causes for Apical Impulse Displaced, Cardiac Signs and Symptoms, Pulsus Alternans

  • Congestive Heart Failure

    alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] This is a rare occurrence, especially in patients that do not exhibit any signs and symptoms of acute cardiac decompensation.[ncbi.nlm.nih.gov] […] a constellation of clinical symptoms (dyspnea and fatigue) and signs (edema and rales) that lead to frequent hospitalizations, a poor quality of life, and a shortened life[web.archive.org]

  • Cardiomyopathy

    […] precordial impulse that is displaced laterally and usually is abnormally forceful and enlarged Systolic ejection crescendo-decrescendo murmur Holosystolic murmur at the apex[emedicine.medscape.com] Like HCM, it can cause sudden cardiac arrest in young athletes. What are the signs and symptoms? Some people who have cardiomyopathy never have signs or symptoms.[mplsheart.org] apical impulse, 13,41 muffled heart sounds 41 with a third heart sound, 13,41 a mitral regurgitation murmur 13,41 or signs of pulmonary congestion. 13 Signs of systemic venous[revportcardiol.org]

  • Dilated Cardiomyopathy

    apical impulse, 13,41 muffled heart sounds 41 with a third heart sound, 13,41 a mitral regurgitation murmur 13,41 or signs of pulmonary congestion. 13 Signs of systemic venous[revportcardiol.org] Pulsus alternans is an infrequent, complex pathophysiologic sign often associated with severe heart failure.[ncbi.nlm.nih.gov] Physical exam: A thorough physical exam will be done to evaluate for signs of a cardiac problem.[cincinnatichildrens.org]

  • Alcoholic Cardiomyopathy

    Leg elevation promptly reversed the pulsus alternans, and the echocardiographic abnormality.[ncbi.nlm.nih.gov] Cardiac percussion and palpation reveal evidence of an enlarged heart with a laterally displaced and diffuse point of maximal impulse.[emedicine.com] […] biomarker elevation suggestive of myopericarditis; or when a patient presents with clinical signs and symptoms of an acute MI and a normal coronary angiogram.[clevelandclinicmeded.com]

  • Ischemic Cardiomyopathy

    There were no other associated symptoms. At no time did the patient have clinical signs or symptoms of angina or cardiac failure.[casesjournal.biomedcentral.com] Signs and symptoms of ischemic cardiomyopathy include sudden fatigue, shortness of breath, dizziness, and palpitations.[en.wikipedia.org] The patient may not exhibit any signs and symptoms in the early stages of cardiomyopathy.[fortherecordmag.com]

  • Acute Myocarditis

    Myocarditis is inflammation of the cardiac muscle. The symptoms, signs and basic investigation findings can mimic that of myocardial infarction.[ncbi.nlm.nih.gov] The other lesson from this case is that patients presenting with severe clinical symptoms, important ECG signs and high myocardial enzyme levels should be closely monitored[ncbi.nlm.nih.gov] As soon as the heart is identified as the source of symptoms, cardiac enzymes: troponin I, troponin T, and creatine kinase-MB (CK-MB) must be evaluated to exclude myocardial[symptoma.com]

  • Primary Cardiomyopathy

    The patient may not exhibit any signs and symptoms in the early stages of cardiomyopathy.[fortherecordmag.com] Considerations for Cardiomyopathies Type* Signs and symptoms Diagnostic considerations Treatment considerations Dilated cardiomyopathy Shortness of breath, fatigue, cough[aafp.org] Clinical presentation is with signs and symptoms of systemic and pulmonary venous congestion from diastolic heart failure and pulmonary HTN [ 43 ].[intechopen.com]

  • Peripartum Cardiomyopathy

    apical impulse The pathogenesis of post-partum cardiomyopathy is uncertain, with genetic factors, sympathetic tone, hormones, and malnutrition all suggested as contributing[radiopaedia.org] However, in certain populations can be found frequently enough and the signs, symptoms, and management should be readily understood.[ncbi.nlm.nih.gov] apical impulse, right ventricular heave, murmurs of mitral and tricuspid regurgitation, third heart sound, pulmonary rales, and peripheral edema. 7 Electrocardiography usually[cathlabdigest.com]

  • Secondary Cardiomyopathy

    The presence of overt clinical signs of cardiac disease is a poor prognostic sign.[reumatologiaclinica.org] […] biomarker elevation suggestive of myopericarditis; or when a patient presents with clinical signs and symptoms of an acute MI and a normal coronary angiogram.[clevelandclinicmeded.com] Considerations for Cardiomyopathies Type* Signs and symptoms Diagnostic considerations Treatment considerations Dilated cardiomyopathy Shortness of breath, fatigue, cough[aafp.org]

  • Hemochromatosis-related Cardiomyopathy

    symptoms of hypoperfusion.[clinicaladvisor.com] […] biomarker elevation suggestive of myopericarditis; or when a patient presents with clinical signs and symptoms of an acute MI and a normal coronary angiogram.[clevelandclinicmeded.com] Diuretics are the mainstay of therapy for patients with volume overload, but excessive use can lead to decreased filling pressures with decreased cardiac output and signs[clinicaladvisor.com]