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23 Possible Causes for Cardiac Signs and Symptoms, Patient Appears Acutely Ill, Pulsus Alternans

  • Congestive Heart Failure

    alternans (alternating large and small pulse pressures) and a raised JVP.[] This is a rare occurrence, especially in patients that do not exhibit any signs and symptoms of acute cardiac decompensation.[] […] 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[]

  • Pulmonary Edema

    However, if a patient has equivocal symptoms and signs combined with a modest elevation in NT-proBNP, it is most likely to represent cardiac dysfunction.[] The clinical profile of the patients was similar to that reported in recent large AHFS registries. 3 , 6 - 9 All patients had signs and symptoms of congestion (entry requirement[] The clinical profile of the patients was similar to that reported in recent large AHFS registries. 3, 6 - 9 All patients had signs and symptoms of congestion (entry requirement[]

  • Acute Myocardial Infarction

    Documentation Suggestions Describe clinical signs and symptoms (e.g., crescendo angina, fourth heart sound, left ventricular failure, pain radiating to left arm, etc.).[] ., serum cardiac markers such as Troponin T, EKG, electrolytes, etc.).[]

  • Acute Myocarditis

    Myocarditis is inflammation of the cardiac muscle. The symptoms, signs and basic investigation findings can mimic that of myocardial infarction.[] 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[] 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[]

  • Viral Myocarditis

    symptoms of myocardial infarction or cardiac failure, including chest pain and cardiac arrhythmias Diagnosis Endomyocardial biopsy is the gold standard to diagnose myocarditis[] Some patients also experience cardiac signs that vary in severity from chest pain and arrhythmias to heart failure or sudden cardiac death .[] Patients with myocarditis may present with the following signs and symptoms: Mild symptoms of chest pain (in concurrent pericarditis), fever, sweats, chills, dyspnea In viral[]

  • Myocardial Infarction

    Some people have no symptoms; for others, the first sign may be sudden cardiac arrest.[] symptoms o Risk factors ECG changes Positive cardiac enzymes tests Troponin T Troponin I Differentials Cardiac Angina Pericarditis Myocarditis Aortic dissection Pulmonary[] Patients who died very soon after admission and for whom cardiac markers were not measured were included if they had signs or symptoms associated with typical ST-segment changes[]

  • Acute Aortic Regurgitation

    Signs of the disease commonly include tachycardia, cyanosis, pulsus alternans, crepitations in the lungs indicating pulmonary edema and hypotension and peripheral vasoconstriction[] Symptoms and Signs Acute aortic regurgitation causes symptoms of heart failure (dyspnea, fatigue, weakness, edema) and cardiogenic shock (hypotension with resultant multisystem[] Physical Examination – Acute AR • Tachycardia • Peripheral vasoconstriction • Cyanosis • Pulmonary edema • Arterial pulsus alternans; normal LV impulse • Early mitral valve[]

  • Atrial Flutter

    Orchard and Cingolani ( 14 ) described how arrhythmogenic consequences of acidosis such as re-entry, pulsus alternans, and early/delayed after-depolarizations may provoke[] Signs and symptoms Signs and symptoms in patients with atrial flutter typically reflect decreased cardiac output as a result of the rapid ventricular rate.[]

  • Paroxysmal Supraventricular Tachycardia

    […] tardus et parvus • Pulsus paradoxus • doubled ( Pulsus bisferiens, Dicrotic pulse, Pulsus bigeminus ) • Pulsus alternans • Carotid bruit • Cannon A waves مرض وعائي Bruit[] These include: Electrocardiogram (EKG/ECG) Holter monitor Cardiac event monitor Electrophysiology (EP) study Many clinical conditions may have similar signs and symptoms.[] […] sound, Fourth heart sound ) • Pericardial friction rub • Split S2 • Heart click Cœur en sabot Cardiovascular chest pain Vascular manifestations of heart disease ( pulse ): Pulsus[]

  • Cardiac Tamponade

    The patient who has acute, rapid bleeding with cardiac tamponade appears critically ill and in shock.[] Pulsus paradoxus was 20 mmHg. The electrocardiogram showed low-voltage QRS complex with electrical alternans.[] Cardiac tamponade shares symptoms and signs such as dyspnea, edema, and low urine output with other, more-common diseases.[]