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63 Possible Causes for Cardiac Signs and Symptoms, Heart Murmur, Pulsus Alternans

  • Congestive Heart Failure

    alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] The possibility of traumatic ventricular septal defect should be considered in all multiple-trauma patients who develop a new heart murmur, even when overt chest-wall injury[ncbi.nlm.nih.gov] This is a rare occurrence, especially in patients that do not exhibit any signs and symptoms of acute cardiac decompensation.[ncbi.nlm.nih.gov]

  • Cardiomyopathy

    (Heart murmurs are extra or unusual sounds heard during a heartbeat.) Updated: June 22, 2016[web.archive.org] 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] Signs and symptoms Signs and symptoms of HCM can include the following: Sudden cardiac death (the most devastating presenting manifestation) Dyspnea (the most common presenting[emedicine.medscape.com]

  • Dilated Cardiomyopathy

    Pulsus alternans is an infrequent, complex pathophysiologic sign often associated with severe heart failure.[ncbi.nlm.nih.gov] There may also be a fast or slow heart beat and the doctor may hear an abnormal heart sound (heart murmur) through a stethoscope, or a large heart may be visible on an x-[chfed.org.uk] Physical exam: A thorough physical exam will be done to evaluate for signs of a cardiac problem.[cincinnatichildrens.org]

  • Acute Myocardial Infarction

    The doctor may hear abnormal sounds in your lungs (called crackles), a heart murmur, or other abnormal sounds. You may have a rapid pulse.[utmedicalcenter.org] Documentation Suggestions Describe clinical signs and symptoms (e.g., crescendo angina, fourth heart sound, left ventricular failure, pain radiating to left arm, etc.).[library.ahima.org] The provider may hear abnormal sounds in your lungs (called crackles), a heart murmur , or other abnormal sounds. You may have a fast or uneven pulse.[medlineplus.gov]

  • Alcoholic Cardiomyopathy

    Leg elevation promptly reversed the pulsus alternans, and the echocardiographic abnormality.[ncbi.nlm.nih.gov] Chest examination may reveal heart murmur. Due to fluid retention excessive swelling in the lower extremities and other parts of the body takes place.[ic.steadyhealth.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

    Hypertrophic cardiomyopathy may cause dizziness, fainting, heart murmurs and chest pain Restrictive cardiomyopathy can cause swelling of the hands and feet If you have one[heartandstroke.ca] 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]

  • Fungal Myocarditis

    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] Other signs may include: Difficulty breathing Cyanosis (bluish appearance of the skin, lips and/or fingernails) or paleness Development of a heart murmur Fluid retention or[uchicagokidshospital.org] Symptoms include contractility disorders, cardiac conduction and excitability and complex common symptoms resulting from blood circulation disorders.[mybodypain.com]

  • Primary Cardiomyopathy

    Cardiomyopathy may lead to heart failure, blood clots, a heart murmur, and cardiac arrest.[fortherecordmag.com] Is there a personal history of heart murmur? Is there a personal history of elevated blood pressure?[aafp.org] Murmurs may provide information about leaking heart valves.[emedicinehealth.com]

  • Toxic Myocarditis

    In infants, symptoms may also include bluish skin, heart murmurs, and a poor appetite.[healthcentral.com] In patients presenting with prominent cardiac symptoms and signs, the diagnosis can be confirmed by a biopsy (small specimen of the heart) taken from the right ventricle.[myheart.org.uk] symptoms of myocardial infarction or cardiac failure, including chest pain and cardiac arrhythmias Diagnosis Endomyocardial biopsy is the gold standard to diagnose myocarditis[pathologyoutlines.com]

  • Bacterial Myocarditis

    Other signs may include: Difficulty breathing Cyanosis (bluish appearance of the skin, lips and/or fingernails) or paleness Development of a heart murmur Fluid retention or[uchicagokidshospital.org] […] prior to developing cardiac signs and symptoms (see Table 1).[inmo.ie] There may be a heart murmur (sound made by abnormal backward flow through the mitral valve) or other extra heart sounds, and the liver may be enlarged.[mottchildren.org]

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