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38 Possible Causes for Apical Impulse Displaced, S4 Gallop

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  • Acute Myocarditis

    The physical examination is perhaps even more important, which can reveal tachycardia, cardiac murmurs (soft S1 sound, S3 or S4 gallop, as well as sounds pointing toward insufficiency[symptoma.com]

  • Congestive Heart Failure

    […] and or wheezing Dyspnea on exertion Jugular venous distension Orthopnea Bilateral lower extremity edema Paroxsysmal nocturnal dyspnea Lower extremity venous stasis S3 or S4[saem.org] gallops Hepatomegaly/ hepatojugular reflex Hemoptysis with blood tinged sputum Testing After eliciting a detailed history and completing a physical exam, clinical diagnostics[saem.org]

  • Mitral Valve Insufficiency

    […] night When listening to your heart and lungs, the health care provider may detect: A thrill (vibration) over the heart when feeling the chest area An extra heart sound (S4[medlineplus.gov] Tests When listening to your heart and lungs, the health care provider may detect: A thrill (vibration) over the heart when feeling the chest area An extra heart sound (S4[mountsinai.org] gallop) A distinctive heart murmur Crackles in the lungs (if fluid backs up into the lungs) The physical exam may also reveal: Ankle and leg swelling Enlarged liver Bulging[medlineplus.gov]

  • Cardiomyopathy

    gallop due to thickened, non-compliant ventricle Possible murmur from mitral regurgitation Rapidly rising double arterial pulse in the carotid arteries ECG Abnormally deep[amboss.com] Physical findings include S4 gallop, prominent left ventricular impluse or lift, and brisk carotid upstroke.[clinicaladvisor.com] […] standing Decreases with hand grip , squatting , or passive leg elevation Extended area of Erb's point, left sternal border (laterally displaced due to myocardial hypertrophy ) S4[amboss.com]

  • Peripartum Cardiomyopathy

    apical impulse, right ventricular heave, murmurs of mitral and tricuspid regurgitation, third heart sound, pulmonary rales, and peripheral edema. 7 Electrocardiography usually[cathlabdigest.com] […] chest pain heart failure exertional dyspnea lower extremity edema orthopnea paroxysmal noctural dyspnea Physical exam abdominal fullness bilateral basilar crackles S3 or S4[step2.medbullets.com] […] hypodynamic apical impulse in 72% and gallop rhythm in 92% of the patients.[dx.doi.org]

  • Hypertrophic 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] […] is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double carotid arterial pulse Apical[emedicine.medscape.com] […] gallop is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double carotid arterial pulse Apical[emedicine.medscape.com]

  • Hypertensive Heart Disease

    Later in the course of disease, when significant systolic LV dysfunction supervenes, the apical impulse is displaced laterally, owing to LV dilatation.[emedicine.medscape.com]

  • Left Ventricular Hypertrophy

    Anderson-Fabry disease is an X-linked lysosomal storage disorder caused by abnormalities of the GLA gene, which encodes the enzyme α-galactosidase A. A deficiency of this enzyme leads to the lysosomal accumulation of glycosphingolipids, which may cause left ventricular hypertrophy that is typically concentric and[…][ncbi.nlm.nih.gov]

  • Ischemic Cardiomyopathy

    Here we report a case of central retinal artery occlusion revealing an ischemic cardiomyopathy. A 54-year old smoker man presented at the hospital because of sudden visual loss in his left eye. There was cherry-red spot in the macula in his left eye. We performed a fluorescein angiogram and cervical color Doppler.[…][ncbi.nlm.nih.gov]

  • Primary Cardiomyopathy

    Noncompaction of the left ventricle is a descriptive anatomical term and recently recognized primary cardiomyopathy. Cardiac imaging now allows for prompt detection. The specific etiology remains poorly understood, however, and the major genetic determinants are unknown. This review describes recent data showing[…][ncbi.nlm.nih.gov]

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