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27 Possible Causes for Cardiomyopathy, Chest Pain Worse when Lying Down

  • Acute Pericarditis

    To the best of our knowledge this is the first report of acute idiopathic pericarditis causing stress-related cardiomyopathy.[ncbi.nlm.nih.gov] It is usually worse when coughing, eating and lying down. Sitting up or leaning forward will usually help relieve the pain.[your.md] Abstract Takotsubo cardiomyopathy (TC) is a relatively uncommon stress-induced cardiomyopathy that accounts for 2.2% of all acute myocardial infarctions.[ncbi.nlm.nih.gov]

  • Pericarditis

    Differentiation of constrictive pericarditis from restrictive cardiomyopathy remains a clinical challenge but is facilitated by tissue doppler and colour M-mode echocardiography[ncbi.nlm.nih.gov] It can be made worse when lying down, coughing, or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate.[webmd.com] […] present case study highlights on updates in pathophysiology and diagnostic criteria for myocarditis along with the use of new molecular techniques for detection of idiopathic cardiomyopathies[ncbi.nlm.nih.gov]

  • Aortic Valve Stenosis

    Numerous clinical maneuvers can be used to distinguish aortic stenosis from the similar-sounding murmurs of hypertrophic obstructive cardiomyopathy and pulmonary valve stenosis[radiopaedia.org] If heart failure, loss of consciousness, or heart related chest pain occurs due to AS the outcomes are worse.[en.wikipedia.org] The murmur of hypertrophic cardiomyopathy can also at times mimic the murmur of aortic stenosis.[healio.com]

  • Rheumatoid Arthritis

    (0.50–0.66) Cardiac diseases Acute MI 2.6 (0.9) 7.8 (1.3) 0.31 (0.27–0.34) Chronic ischemic heart disease 4.0 (0.9) 11.7 (0.7) 0.32 (0.29–0.35) Congestive heart failure/cardiomyopathy[ncbi.nlm.nih.gov] Heart: inflammation of the tissue surrounding the heart (pericarditis) can cause chest pain, which tends to be worse when lying down.[onhealth.com] Oudit, Hydroxychloroquine-Induced Cardiomyopathy: Case Report, Pathophysiology, Diagnosis, and Treatment, Canadian Journal of Cardiology, 30, 12, (1706), (2014).[doi.org]

  • Toxic Myocarditis

    Idiopathic Dilated Cardiomyopathy The term idiopathic dilated cardiomyopathy is applied to most patients with nonischemic cardiomyopathy.[clevelandclinicmeded.com] The unique presentation of substernal pain that is worse during inspiration or when the patient is lying down and is relieved by leaning forward is helpful in making the diagnosis[atsu.edu] A 2-dimensional echocardiogram performed at the onset of congestive heart failure showed dilated cardiomyopathy with global impairment of left ventricular function (ejection[ncbi.nlm.nih.gov]

  • Constrictive Pericarditis

    In this report, we describe the case of a 41-year-old man with hypertrophic cardiomyopathy presenting with right-sided congestive heart failure symptoms.[ncbi.nlm.nih.gov] It can be made worse when lying down, coughing, or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate.[webmd.com] This case supports a notion that RIHD often causes multiple heart impairment and CMR is helpful to diagnose cardiomyopathy after radiation.[ncbi.nlm.nih.gov]

  • Radiation Pericarditis

    A diagnosis of restrictive cardiomyopathy was arrived at in 4 instances, always after pericardiectomy.[ncbi.nlm.nih.gov] pain. [1] The pain may also be felt in the shoulders, neck, or back. [1] It is typically better sitting up and worse when lying down or breathing deeply. [1] Other symptoms[en.wikipedia.org] However, radiation therapy to thoracic and mediastinal cancers have also led to development of pericarditis, coronary artery disease, cardiomyopathy, conduction abnormalities[wikidoc.org]

  • Rheumatic Aortic Valve Obstruction

    Numerous clinical maneuvers can be used to distinguish aortic stenosis from the similar-sounding murmurs of hypertrophic obstructive cardiomyopathy and pulmonary valve stenosis[radiopaedia.org] […] especially when lying down , at night , or with exercise, and swelling of the legs . [1] Thickening of the valve without narrowing is known as aortic sclerosis . [1] Causes[en.wikipedia.org] Dilated cardiomyopathy. Hypertrophic cardiomyopathy. Some heart problems present from birth (congenital). It is then usually part of a complex heart deformity.[patient.info]

  • Dressler Syndrome

    Discussion Takotsubo cardiomyopathy was first described in Japan in 1991.[mja.com.au] Symptoms include: chest pain that’s worse when lying down chest pain that worsens with deep breathing or coughing (pleuritic pain) fever difficult or labored breathing fatigue[healthline.com] Zacharias J. 2012 6 Dressler's syndrome demonstrated by late gadolinium enhancement cardiovascular magnetic resonance. ( 19627595 ) Steadman C.D....McCann G.P. 2009 7 Takotsubo cardiomyopathy[malacards.org]

  • Suppurative Pericarditis

    […] or fibrocalcific scar that limits diastolic expansion and seriously restricts cardiac output, resembling restrictive cardiomyopathy.[medpreponline.com] pain. [1] The pain may also be felt in the shoulders, neck, or back. [1] It is typically better sitting up and worse when lying down or breathing deeply. [1] Other symptoms[en.wikipedia.org] The increased workload may cause massive cardiac hypertrophy and dilatation, which can mimic an idiopathic cardiomyopathy.[pkductin.com]

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