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46 Possible Causes for Cardiac Signs and Symptoms, Pulsus Alternans, Rales

  • Congestive Heart Failure

    alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] No rales were detected because of its paucity of fibrous components in the lung.[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]

  • Pulmonary Edema

    However, the patient developed pink frothy sputum with diffuse bilateral rales 30 min later after transported to surgical intensive care unit (SICU).[ncbi.nlm.nih.gov] 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.[doi.org] However, the patient had no sputum or moist rales, and supplemental oxygen and intravenous aminophylline produced no improvement.[ncbi.nlm.nih.gov]

  • Cardiomyopathy

    Pulmonary auscultation showed bilateral rales and wheezing. Arterial gasometry revealed chronic respiratory alkalosis and oxygen saturation of 95%.[scielo.mec.pt] 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] Classical symptoms of congestive heart failure and physical findings of tachycardia, tachypnea, rales in the lung bases and jugular venous distention make a diagnosis of cardiomyopathy[clinicaladvisor.com]

  • Acute Myocardial Infarction

    There may be signs of congestive heart failure, including pulmonary rales, peripheral oedema, elevated jugular venous pressure.[patient.info] 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] Rales may be audible if pulmonary edema is present and the patient is experiencing heart failure.[clinicaladvisor.com]

  • Acute Myocarditis

    The arterial pressure was 89x56 and MAP of 67 mmHg, there was a gallop rhythm with rales in both lung fields.[scielo.br] Myocarditis is inflammation of the cardiac muscle. The symptoms, signs and basic investigation findings can mimic that of myocardial infarction.[ncbi.nlm.nih.gov] Physical exam will look like congestive heart failure, with jugular venous distention, pulmonary rales, peripheral edema, pulsatile liver, and perhaps a laterally displaced[clinicaladvisor.com]

  • Rheumatic Heart Disease

    Examination Physical examination findings include inflamed joints, subcutaneous nodules, a pericardial friction rub, findings of congestive heart failure (edema, pulmonary rales[healio.com] This syndrome is characterized by symptoms and signs of pulmonary or systemic congestion (fluid retention) or limited cardiac output.[ssa.gov] Heart failure caused by the combination of carditis and valvular dysfunction may cause dyspnea without rales, nausea and vomiting, a right upper quadrant or epigastric ache[merckmanuals.com]

  • Heart Failure

    alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] […] because of an inherited or acquired abnormality of cardiac structure and/or function, develop a constellation of clinical symptoms (dyspnea and fatigue) and signs (edema and rales[web.archive.org] Cardiac amyloidosis should be seriously considered in any adult with signs or nonspecific symptoms of cardiac distress, most notably congestive heart failure due to underlying[ncbi.nlm.nih.gov]

  • Myocardial Infarction

    This patient had a clear history of carbon monoxide poisoning, acute respiratory distress, bilateral lung dry and moist rale, chest X-ray showed bilateral pulmonary edema,[ncbi.nlm.nih.gov] Some people have no symptoms; for others, the first sign may be sudden cardiac arrest.[mayoclinic.org] (RALES and EMPHASIS-HF) and of renal function degradation (EMPHASIS-HF).[doi.org]

  • Hypersensitivity Myocarditis

    The lung fields had rales at both bases without audible wheezes. Internal jugular venous pulsations were 5 cm above the sternal notch.[ncbi.nlm.nih.gov] In retrospect, the presence of signs and symptoms of hypersensitivity (skin rash, fever, eosinophilia, and malaise) and nonspecific cardiac findings (electrocardiographic[ncbi.nlm.nih.gov] There was enlargement and tenderness of the liver, a positive hepatojugular reflux, bilateral rales, and an S 3 gallop with no murmurs.[nejm.org]

  • High Output Heart Failure

    alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] Patients with high output heart failure present with dyspnea, tachypnea, non-productive cough, fatigability, pulmonary rales, pleural effusion and peripheral edema, as a result[symptoma.com] […] of organ hypoperfusion predominate End-stage cardiac failure or cardiogenic shock (ADD LINK) AHFS 4 Evidence of acute coronary syndrome (ADD LINK) Symptoms and signs of acute[lifeinthefastlane.com]

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