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15 Possible Causes for Chest Pain, Diminished Heart Sounds, Increased Area of Cardiac Dullness

  • Cardiomyopathy

    One month after index admission, the patient came back complaining again of chest pain.[] You develop chest pain, palpitations, faintness, or other new or unexplained symptoms.[] pain, especially after physical exertion or heavy meals; and heart murmurs.[]

  • Pericardial Effusion

    Considerable amounts of pericardial fluid may muffle heart sounds, increase the area of cardiac dullness, and change the size and shape of the cardiac silhouette.[] On auscultation, heart sounds were found to be diminished.[] pain.[]

  • Malignant Pericardial Effusion

    Minocycline instillation was associated with severe chest pain in seven patients, and with ECG changes suggesting pericardial or subepicardial injury in two patients.[] Fever and chest pain were experienced in six and five patients, respectively, but were controlled with antipyretics.[] Symptoms may arise gradually or rapidly, depending on fluid accumulation rate, and may range from dyspnoea, chest pain, cough, palpitations and orthopnoea, to fatigue, anxiety[]

  • Rheumatic Fever

    Thus, patients presenting with chest pain and electrocardiological and biochemical evidence of myocardial necrosis are not always suffering from an acute coronary syndrome[] […] upper parts of arms and legs), Sydenham's chorea, subcutaneous nodules, epistaxis, shortness of breath and chest pain.[] A previously healthy, 9-year-old girl presented to the emergency department with complaints of sore throat, low-grade fever, and intermittent chest pain.[]

  • Cardiac Tamponade

    , and diminished heart sounds) Cold, clammy extremities Anxiety, restlessness Diagnosis Blood tests EKG, Chest X-ray Cardiac ECHO Treatment Oxygen IV fluids Medications to[] The patient returned again with chest pain and was found to have reaccumulation of pericardial effusion.[] heart sounds.[]

  • Pericardial Cyst

    pain.[] We report a case of large pericardial cyst presenting with severe excruciating chest pain in a Nigerian man.[] We report a case of hemorrhagic pericardial cyst in a young woman presenting with chest pain in which findings on FOCUS contradicted findings on chest x-ray study and thus[]

  • Hemopericardium

    He had no chest pain until recently when he presented with chest tightness and abdominal pain for 2 days prior to admission. Chest X-ray showed marked cardiomegaly.[] We report a case of acute aortic syndrome in a 64-year-old man who presented with chest pain and hypotension. His electrocardiogram and cardiac troponins were normal.[] He suffered from chest pain for 4 months. Coronary angiography showed only ectatic coronary arteries. He started taking nonsteroidal anti-inflammatory drugs.[]

  • Aortic Valve Stenosis

    The aortic component of the second heart sound, A2, is usually diminished or absent, because the aortic valve is calcified and immobile and/or the aortic ejection is prolonged[] A 69-year-old man presented with shortness of breath and exertional chest pain.[] Tissue plasminogen activator (tPA) was administered 10 min after the onset of chest pain, and emergency percutaneous coronary intervention was performed to induce coronary[]

  • Pericarditis

    […] dullness, diminished or absent apical impulse, and distant heart sounds.[] […] of the pericardium, which surrounds the heart and can lead to chest pain.[] Considerable amounts of pericardial fluid may muffle heart sounds, increase the area of cardiac dullness, and change the size and shape of the cardiac silhouette.[]

  • Peripartum Cardiomyopathy

    A stethoscope will be used to listen for lung crackles, a rapid heart rate, or abnormal heart sounds.[] The most commonly reported symptoms were extreme shortness of breath, orthopnea, tachycardia, palpitations, chest pain, cough, and edema.[] pain.[]

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