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19 Possible Causes for Apical Impulse Displaced, Edema, Pulsus Alternans

  • Congestive Heart Failure

    Peripheral edema: Edema develops in the feet in ambulatory patients and sacral edema in bed bound patients.[symptoma.com] 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]

  • 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] DIAGNOSIS: The chest x-ray revealed pulmonary edema.[ncbi.nlm.nih.gov] 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] Other findings which are of importance include: cyanosis, clubbing, jugular venous distension, pulmonary edema, S 3 gallop, enlarged liver and peripheral edema.[symptoma.com] Pulsus alternans is an infrequent, complex pathophysiologic sign often associated with severe heart failure.[ncbi.nlm.nih.gov]

  • Alcoholic Cardiomyopathy

    Cardiac percussion and palpation reveal evidence of an enlarged heart with a laterally displaced and diffuse point of maximal impulse.[emedicine.com] We describe a patient with pancytopenia, jaundice, and diffuse edema after a distal splenorenal shunt. His shunt was angiographically proved patent.[ncbi.nlm.nih.gov] Leg elevation promptly reversed the pulsus alternans, and the echocardiographic abnormality.[ncbi.nlm.nih.gov]

  • Acute Myocarditis

    Among many cardiac imaging techniques, only cardiac magnetic resonance (CMR) and computer tomography permit a direct detection of edema during acute myocarditis.[ncbi.nlm.nih.gov] BACKGROUND: The purpose of the present study was to investigate the diagnostic value of T2-mapping in acute myocarditis (ACM) and to define cut-off values for edema detection[ncbi.nlm.nih.gov] Abstract To quantify myocardial edema by using a T2 relaxometry approach with a dual-contrast turbo spin-echo (dcTSE) sequence in patients with acute myocarditis regarding[ncbi.nlm.nih.gov]

  • Ischemic Cardiomyopathy

    […] in the lower extremities Rapid weight gain A common symptom of non-ischemic cardiomyopathy is edema in the lower extremities.[study.com] Signs include congestive heart failure, angina edema, weight gain and fainting, among others.[en.wikipedia.org] Gross edema and ascites occur much later, undoubtedly owing to the convergence of a number of factors.[ncbi.nlm.nih.gov]

  • Primary Cardiomyopathy

    Symptoms of heart failure may include shortness of breath, fatigue, cough, orthopnea, paroxysmal nocturnal dyspnea, and edema.[aafp.org] […] pseudoaneurysm仮[性]心室瘤、仮性動脈瘤、偽[性]動脈瘤 pulmonary arteriostenosis 肺動脈狭窄症 pulmonary artery (PA) 肺動脈 pulmonary artery wedge pressure肺動脈毛細[血]管圧 pulmonary congestion肺うっ血 pulmonary edema[tokyo-med.ac.jp] […] severity of heart failure was quantified using the cardiovascular profile score (CVPS) ( Table 1 ) with 2 modifications to the original scoring system (replacement of “skin edema[heartfailure.onlinejacc.org]

  • 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] This report describes the presentation and anesthetic management of a parturient who was admitted with a diagnosis of severe preeclampsia in whom pulmonary edema and heart[ncbi.nlm.nih.gov] A 22-year-old woman in the 26th week of gestation was admitted with acute pulmonary edema.[ncbi.nlm.nih.gov]

  • Secondary Cardiomyopathy

    Chest X-ray (Figure 1 ) showed bilateral patchy opacities representing pulmonary edema or possible hemorrhage.[bmcresnotes.biomedcentral.com] There was no lower-extremity edema. The patient’s skin was dry and hot. Serum for investigations and blood cultures were obtained.[radcliffecardiology.com] Symptoms of heart failure may include shortness of breath, fatigue, cough, orthopnea, paroxysmal nocturnal dyspnea, and edema.[aafp.org]

  • Hemochromatosis-related Cardiomyopathy

    Varying degrees of degeneration, edema, and fibrosis of the myocardium can be seen. Electrocardiographic changes and even cardiac failure may occur.[histopathology-india.net] […] life by conventional therapy and repeated phlebotomies.Case ReportA 35-year-old single man was admitted to the hospital in January, 1966, because of anorexia, weight gain, edema[nejm.org] He had jugular venous distension, bilateral pulmonary crackles, II/VI systolic murmur heard at the apex, ascites, and pitting edema in both lower legs.[circheartfailure.ahajournals.org]

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