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44 Possible Causes for Chest Pain, Dyspnea at Rest, Pulsus Alternans

  • Heart Failure

    These include, among others: Dyspnea ( exertional-, dyspnea at rest, orthopnea, paroxysmal nocturnal dyspnea); Fatigue, inadequate exhaustion after stress, weakness, lethargy[flexikon.doccheck.com] alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] Here are seven conditions that can cause chest pain—and what everyone should know about to treat them.[health.com]

  • Congestive Heart Failure

    Initially dyspnea occurs only at exertion. Later on orthopnea and paroxysmal nocturnal dyspnea also develop. Later on dyspnea occurs even at rest.[symptoma.com] alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] pain, or pedal edema.[ncbi.nlm.nih.gov]

  • Acute Myocardial Infarction

    After 48h following the accident, the patient's condition rapidly deteriorated, with severe dyspnea at rest, tachycardia, and increasing chest pain.[ncbi.nlm.nih.gov] Area under the curves (AUCs) and 95% confidence intervals (CI); P values of baseline levels of MPO for discriminating AMI patients from noncoronary chest pain (NCCP) patients[ncbi.nlm.nih.gov] A 71-year-old woman was transferred to hospital with new onset chest pain.[ncbi.nlm.nih.gov]

  • Myocardial Infarction

    The health care burden of acute chest pain.[ncbi.nlm.nih.gov] Pain Choice trial: a pilot randomized trial of a decision aid for patients with chest pain in the emergency department.[dx.doi.org] A computer protocol to predict myocardial infarction in emergency department patients with chest pain. N Engl J Med 1988 ; 318 : 797 –803. 3.[doi.org]

  • Cardiomyopathy

    There are five useful clinical signs to establish the presence and severity of cardiomyopathy: general appearance (cachexia and dyspnea at rest indicate severe impairment)[clevelandclinicmeded.com] One month after index admission, the patient came back complaining again of chest pain.[ncbi.nlm.nih.gov] […] mitral valve cusp towards the septum LVOT pressure gradient via doppler echocardiography Provocation tests (see below) are obligatory if no obstruction is discernible at rest[amboss.com]

  • Pulmonary Edema

    High altitude pulmonary edema (HAPE) is a form of high altitude illness characterized by cough, dyspnea upon exertion progressing to dyspnea at rest and eventual death, seen[ncbi.nlm.nih.gov] Morphine is sometimes given to control chest pain and severe anxiety in patients.[symptoma.com] Class IV is defined by symptoms at rest or with any physical activity.[radcliffecardiology.com]

  • Acute Myocarditis

    Case 1: A 48-years-old, previously healthy male patient admitted to our clinic with complaints of acute onset of rest dyspnea and orthopnea, started the day before.[ncbi.nlm.nih.gov] Myocarditis should be considered in all patients presenting with acute onset chest pain and elevated cardiac biomarkers.[ncbi.nlm.nih.gov] Abstract Chest pain is a typical symptom of acute myocarditis in adolescents.[ncbi.nlm.nih.gov]

  • Rheumatic Heart Disease

    (i) Symptoms of congestion or of limited cardiac output include easy fatigue, weakness, shortness of breath (dyspnea), cough, or chest discomfort at rest or with activity.[ssa.gov] A 44-year-old lady with rheumatic valvular disease and atrial fibrillation defaulted anticoagulant medication, and subsequently presented with acute chest pain, acute left[ncbi.nlm.nih.gov] Symptoms of moderate to severe RHD can include chest pain, breathlessness with physical activity or when lying down, weakness and tiredness, and swelling of the legs and face[rhdaustralia.org.au]

  • Fungal Myocarditis

    A history of shortness of breath at rest, orthopnea, ankle edema, or paroxysmal nocturnal dyspnea is suggestive of congestive heart failure. 3.2 Chest pain Chest pain is usually[intechopen.com] 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] Arrhythmias (18%), dyspnea (72%), and chest pain (35%) Fatigue Myalgias/arthralgias Malaise Fever Chest pain: Reported in 35% Most commonly pleuritic, sharp, stabbing, pre[5minuteconsult.com]

  • Dilated Cardiomyopathy

    At presentation she had dyspnea at rest, orthopnea and paroxysmal nocturnal dyspnea.[doi.org] Pulsus alternans is an infrequent, complex pathophysiologic sign often associated with severe heart failure.[ncbi.nlm.nih.gov] Serum cardiac markers are measured if acute symptoms or chest pain is present.[merckmanuals.com]

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