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39 Possible Causes for Cardiac Signs and Symptoms, Pulsus Alternans, S3 Gallop

  • Congestive Heart Failure

    alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] […] criteria: · Paroxysmal nocturnal dyspnea · Neck vein distention · Rales · Radiographic cardiomegaly (increasing heart size on chest radiography) · Acute pulmonary edema · S3[medicalcriteria.com] 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

    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[emedicine.medscape.com] 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] Other possible physical findings include an S3 gallop and a systolic murmur of mitral regurgitation if the valve annulus is dilated.[clinicaladvisor.com]

  • Pulmonary Edema

    An third heart sound (S3) gallop is frequently present.[tele.med.ru] 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] 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[jama.jamanetwork.com]

  • Acute Myocardial Infarction

    In this situation, there may be concurrent jugular venous distension peripheral edema and a S3 gallop. Diaphoresis can be common in AMI.[clinicaladvisor.com] 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] Class I: No evidence of HF (mortality 6%) Class II: Findings of mild to moderate HF (S3 gallop, rales halfway up lung fields or elevated jugular venous pressure (mortality[healio.com]

  • Dilated Cardiomyopathy

    Pulsus alternans is an infrequent, complex pathophysiologic sign often associated with severe heart failure.[ncbi.nlm.nih.gov] He was tachycardic, with an S3/S4 gallop rhythm. There were moist rales in the lung fields and chest wall retraction. The abdominal exam revealed hepatomegaly.[revportcardiol.org] Physical exam: A thorough physical exam will be done to evaluate for signs of a cardiac problem.[cincinnatichildrens.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] Symptoms include contractility disorders, cardiac conduction and excitability and complex common symptoms resulting from blood circulation disorders.[mybodypain.com] Cardiogenic shock in fulminant cases Auscultation findings Brief systolic murmurs Heart failure S3 (and S4) gallops Pericarditis pericardial friction rub The clinical manifestation[amboss.com]

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

  • Toxic Myocarditis

    Cardiogenic shock in fulminant cases Auscultation findings Brief systolic murmurs Heart failure S3 (and S4) gallops Pericarditis pericardial friction rub The clinical manifestation[amboss.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] A S3 gallop indicates left-sided congestive heart failure.[atsu.edu]

  • Ischemic Cardiomyopathy

    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] The patient may not exhibit any signs and symptoms in the early stages of cardiomyopathy.[fortherecordmag.com]

  • Giant Cell Myocarditis

    Patient was tachycardic with normal S1, S2, an audible S3 gallop, and no murmurs. Extremities were warm and well perfused.[chop.edu] The diagnosis of CS may be easy if cardiac signs or symptoms develop in a patient with a known diagnosis of extra-cardiac disease, but is particularly challenging in isolated[escardio.org] Clinical diagnosis should be highly suspected in the face of a patient with cardiac symptoms that have recently appeared and are progressively rapidly with signs of intense[revespcardiol.org]