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495 Possible Causes for Central Venous Pressure Increased, Diminished Heart Sounds, Pericardial Knock

  • Chronic Constrictive Pericarditis

    Signs may include hypotension, elevated jugular venous pressure (JVP) and diminished heart sounds (Beck's triad or acute compression triad described in 1935 with cardiac tamponade[patient.info] Patients with low cardiac output syndrome exhibited persistently high central venous pressure with reduced cardiac index and echocardiographically abnormal diastolic filling[annals.in] The beginning of this anomalous movement was coincident with the pericardial knock in the phonocardiogram and its peak was coincident with the simultaneously recorded deep[ncbi.nlm.nih.gov]

  • Cardiac Tamponade

    After 1 hour of allograft reperfusion, the cardiac index and blood pressure dropped markedly despite volume resuscitation, and the central venous pressure increased abruptly[ncbi.nlm.nih.gov] , and diminished heart sounds) Cold, clammy extremities Anxiety, restlessness Diagnosis Blood tests EKG, Chest X-ray Cardiac ECHO Treatment Oxygen IV fluids Medications to[cardiachealth.org] knock Tension pneumothorax distinguishing factors decreased or absent breath sounds hyperresonant percussion Treatment Management approach all approaches focus on removal[medbullets.com]

  • Cardiomyopathy

    , elevated central venous pressure Cardiopulmonary exercise test Maximal systemic oxygen uptake Endomyocardial biopsy Loss of intracellular myofilaments Data from Topol E:[clevelandclinicmeded.com] […] cardiothoracic ratio Coronary angiography Multivessel obstructive disease Hemodynamic data Pulmonary capillary wedge pressure 20 mmHg, cardiac index 2, pulmonary hypertension[clevelandclinicmeded.com] Echocardiography Increased ventricular dimensions, reduced ejection fraction, restrictive diastolic filling pattern, severe mitral or tricuspid regurgitation, or both Chest radiography Increased[clevelandclinicmeded.com]

    Missing: Pericardial Knock
  • Constrictive Pericarditis

    Signs may include hypotension, elevated jugular venous pressure (JVP) and diminished heart sounds (Beck's triad or acute compression triad described in 1935 with cardiac tamponade[patient.info] […] drainage. (7) This is directly related to the elevated central venous pressure secondary to increased right atrial filling pressure.[thefreelibrary.com] Pericardial Knock (Constrictive Pericarditis) The early diastolic sound of pericardial constriction occurs slightly earlier than the average third heart sound.[podbay.fm]

  • Pericardial Effusion

    On physical examination classical signs include neck vein distention with elevated jugular venous pressure at bedside examination, pulsus paradoxus, and diminished heart sounds[eurheartj.oxfordjournals.org] See also constrictive pericarditis. pericardial friction rub see pericardial rub. pericardial knock an early diastolic sound caused by loss of pericardial elasticity accompanying[medical-dictionary.thefreedictionary.com] On auscultation, heart sounds were found to be diminished.[casesjournal.biomedcentral.com]

    Missing: Central Venous Pressure Increased
  • Hypovolemia

    Initial stage: CVP slightly decrease Blood volume Systemic arterial blood venous return volume pressure pulmonary arteries blood the central venous pressure flow 12.[slideshare.net] To augment cardiac output, the Trendelenburg position must increase the pressure gradient from peripheral to central veins, which would then increase venous return.[intensivecareunit.wordpress.com] Watch, too, for signs of fluid overload (moist respirations, respiratory distress, and increased central venous pressure and jugular venous distension), which could easily[163.178.103.176]

    Missing: Pericardial Knock
  • Acute Pericarditis

    Accordingly, patients present with fatigue, jugular vein distention, peripheral edema, and a characteristic pericardial knock on auscultation, caused by a sudden stop in ventricular[amboss.com] Early diastolic heart sound (pericardial knock)? Bilateral pleural effusions?[clinicaladvisor.com] knock (60–200 msec after the second heart sound), which is caused by sudden termination of ventricular inflow by the encasing pericardium.[clevelandclinicmeded.com]

    Missing: Central Venous Pressure Increased
  • Restrictive Cardiomyopathy

    , elevated central venous pressure Cardiopulmonary exercise test Maximal systemic oxygen uptake Endomyocardial biopsy Loss of intracellular myofilaments Data from Topol E:[clevelandclinicmeded.com] The term “pericardial knock,” although commonly used, is not particularly appropriate.[heart.bmj.com] […] cardiothoracic ratio Coronary angiography Multivessel obstructive disease Hemodynamic data Pulmonary capillary wedge pressure 20 mmHg, cardiac index 2, pulmonary hypertension[clevelandclinicmeded.com]

    Missing: Diminished Heart Sounds
  • Pneumothorax

    The central venous pressure is usually raised, but will be normal or low in hypovolaemic states.[trauma.org] ., gunshot) injury Iatrogenic pneumothorax : Mechanical ventilation ( Mechanical ventilation with high PEEP may result in barotrauma ) ; , thoracocentesis ; , central venous[amboss.com] […] obstruction with only bilateral TPTs causing a linear rise in central venous pressure (CVP). 45 Only one of the three unilateral TPT studies found increased superior and[doi.org]

    Missing: Pericardial Knock
  • Malignant Pericardial Effusion

    knock (60–200 msec after the second heart sound), which is caused by sudden termination of ventricular inflow by the encasing pericardium.[clevelandclinicmeded.com] Constrictive effusive pericarditis consists of a tense pericardial effusion in the presence of pericardial constriction, and both tamponade and constrictive signs and symptoms[clevelandclinicmeded.com] […] pressure on inspiration), which is sensitive but not specific for constrictive pericarditis. 23 Auscultation may reveal muffled heart sounds and occasionally a characteristic pericardial[clevelandclinicmeded.com]

    Missing: Central Venous Pressure Increased