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20 Possible Causes for Carotid Bruit, Hypothyroidism, Right Bundle Branch Block

  • Coronary Artery Disease

    We included subjects with normal thyroid function (0.4-4.0 mIU/L, and normal free thyroxine, FT4, or 0.8 to 1.9 ng/dL), subclinical hypothyroidism (SCHypo; TSH 4.0 mIU/L and[ncbi.nlm.nih.gov] Bruits can be heard easily with a stethoscope in the he carotid artery in the neck, the abdominal aorta, and the femoral artery .Check sensation in the feet for numbness,[medicinenet.com] Recognition and treatment of hypothyroidism and obstructive sleep apnea are important adjuncts in at-risk patients. Pharmacological management is inevitably required.[doi.org]

  • Heart Failure

    Endocrine - eg, diabetes, hypothyroidism, hyperthyroidism, Cushing's syndrome, adrenal insufficiency, excessive growth hormone, phaeochromocytoma.[patient.info] Assessment of the extent of arteriosclerosis by detecting missing pulses and the presence of carotid and abdominal bruits is often important, particularly in elderly subjects[doi.org] Recommendations regarding cardiac resynchronization therapy for patients with right bundle-branch block, atrial fibrillation, minor conduction abnormality, and pacemaker dependence[content.onlinejacc.org]

  • Sinus Tachycardia

    For example fever, infection, hypothyroidism, anemia, or any other problem that increases the metabolic rate can result in sinus tachycardia.[pediatricheartspecialists.com] If the rhythm is regular: Vagal manoeuvres (caution if there is possible digitalis toxicity, acute ischaemia, or presence of carotid bruit for carotid sinus massage).[patient.info] […] and left axis deviation, ectopic focus that alternates between the anterior superior and posterior inferior fascicles, and a right bundle branch block pattern in lead V 1[medical-dictionary.thefreedictionary.com]

  • Conduction Disorder of the Heart

    Bundle Branch Block Left bundle branch block and right bundle branch block of recent onset, indicate the need for a cardiovascular assessment by a specialist to rule out heart[ucalgary.ca] Background in other pathological processes has been described affecting cardiac conduction tissue: Steinert's disease, Lyme disease, Chagas' disease with heart involvement or hypothyroidism[clinicaltrials.gov] […] massage Patient lying down Right side first Listen for bruits first Gentle pressure of over the carotid artery at the angle of the jaw for 10–15 seconds Valsalva Getting[physicianassistantexamreview.com]

  • Cardiogenic Syncope

    Infiltrating diseases like amyloidosis, hypothyroid states can result in SND.[drsvenkatesan.com] The maneuver is to be avoided if carotid bruits are present.[symptoma.com] […] or pause ( 3 seconds), high degree AV block (Mobitz II or third degree), alternating left and right bundle branch block (BBB), ventricular tachycardia (VT) or paroxysmal[clevelandclinicmeded.com]

  • Paroxysmal Supraventricular Tachycardia

    A resting electrocardiogram showed a right bundle branch block and left axis deviation with a delta wave.[ncbi.nlm.nih.gov] […] suggests that PSVT can also be part of the cardio-vascular anomalies during hypothyroidism.[endocrine-abstracts.org] Due to the risk of stroke from emboli, auscultate for bruits before attempting this manoeuvre. Do not perform carotid massage on both sides simultaneously.[patient.info]

  • Orthostatic Syncope

    Nervous System disease (CNS) 1) Neuropathic DM, auto-immune disease Vitamin B 12 deficiency Syphilis amyloid cancer Renal failure Heavy metal toxicity alcoholism porphyria hypothyroid[unmc.edu] bruit (except if Doppler excludes significant carotid stenosis), or clinical suspicion of carotid stenosis. 16 ECG monitoring ECG monitoring is indicated in patients who[clevelandclinicmeded.com] Antiparkinsonian agents Diuretics Narcotics Neuroleptics Sedatives Endocrine 10 Adrenal insufficiency Diabetes insipidus Hyperglycemia, acute Hypoaldosteronism Hypokalemia Hypothyroidism[aafp.org]

  • Congestive Heart Failure

    […] the pulmonary or systemic circulation; inflammatory reactions in the heart muscle or oxygen lack; and, finally, certain metabolic disturbances, such as hyperthyroidism or hypothyroidism[pediatrics.aappublications.org] Assessment of the extent of arteriosclerosis by detecting missing pulses and the presence of carotid and abdominal bruits is often important, particularly in elderly subjects[doi.org] Specifically, there was no benefit in patients with right bundle-branch block (RR: 0.91; 95% CI: 0.69 to 1.20; P 0.49) or nonspecific intraventricular conduction delay (RR[doi.org]

  • Atrial Bigeminy

    In addition to cardiac disturbances, amiodarone can cause fetal goiter, neonatal hypothyroidism, and fetal growth retardation. 14 Based on these observations, amiodarone should[aafp.org] Doctors will often listen for a carotid bruit with a stethoscope as this is a good indicator of carotid arterial stenosis.[thoracickey.com] Block Right Bundle Branch Block Left Bundle Branch Block Left Anterior Hemiblock Left Posterior Hemiblock Normal Sinus Rhythm Atrial Premature Depolarization Premature Atrial[play.google.com]

  • Micturition Syncope

    Low thyroid gland function ( hypothyroidism ) may be associated with low blood pressure.[emedicinehealth.com] bruit (except if Doppler excludes significant carotid stenosis), or clinical suspicion of carotid stenosis. 16 ECG monitoring ECG monitoring is indicated in patients who[clevelandclinicmeded.com] .  Pulse: rate and rhythm  Extra Cardiac Ascultation: carotid, ophthalmic, and supraclavicular bruitsCarotid sinus massage in older patients suspected of having carotid[slideshare.net]

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