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33 Possible Causes for Chest Pain, Gallop Rhythm, Hemiplegia

  • 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[ncbi.nlm.nih.gov] […] upper parts of arms and legs), Sydenham's chorea, subcutaneous nodules, epistaxis, shortness of breath and chest pain.[web.archive.org] A previously healthy, 9-year-old girl presented to the emergency department with complaints of sore throat, low-grade fever, and intermittent chest pain.[ncbi.nlm.nih.gov]

  • Myocardial Infarction

    Cerebral infarction and transient hemiplegia may also present in untreated asymptomatic CD patients[ 66 ].[dx.doi.org] Pain Choice trial: a pilot randomized trial of a decision aid for patients with chest pain in the emergency department.[dx.doi.org] Significant physical findings, often absent, include an atrial gallop rhythm (4th heart sound) and a pericardial friction rub.[medical-dictionary.thefreedictionary.com]

  • Cardiomyopathy

    You develop chest pain, palpitations, faintness, or other new or unexplained symptoms.[medlineplus.gov] Cerebral infarction and transient hemiplegia may also present in untreated asymptomatic CD patients[ 66 ].[doi.org] rhythm, persistent jugular venous distention, systemic hypotension, peripheral vascular disease Laboratory findings Hyponatremia, persistently elevated B-type natriuretic[clevelandclinicmeded.com]

  • Unstable Angina

    Two days later she developed an ischemic stroke with right brachiocrural hemiplegia.[ncbi.nlm.nih.gov] BACKGROUND: We investigated the current management of unstable angina pectoris (UAP) in certified chest pain units (CPUs) in Germany and focused on the European Society of[ncbi.nlm.nih.gov] However, subclinical hyperthyroidism rarely presents as chest pain in the resting state.[ncbi.nlm.nih.gov]

  • Rheumatic Heart Disease

    The fever resolved with antibiotic therapy on the third hospital day but he then developed hemiplegia and multifocal seizures.[ncbi.nlm.nih.gov] CASE REPORT: A 44-year-old lady with rheumatic valvular disease and atrial fibrillation defaulted anticoagulant medication, and subsequently presented with acute chest pain[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]

  • Dissecting Aortic Aneurysm

    […] dissection spares the ascending aorta) close attention to heart sounds (aortic regurgitation and tamponade are possible with proximal extension) neurologic examination (hemiplegia[ncbi.nlm.nih.gov] Abstract Acute dissecting thoracic aortic aneurysm is a rare cause of chest pain in young adults.[ncbi.nlm.nih.gov] Abstract Dissecting aneurysms generally cause radiating back pain, chest pain, or symptoms caused by aortic insufficiency.[ncbi.nlm.nih.gov]

  • High Altitude Pulmonary Edema

    Seizures, focal deficits (eg, cranial nerve palsy, hemiplegia), fever, and meningeal signs are uncommon and should prompt concern for other diagnoses.[merckmanuals.com] The following measurements were noted: dyspnea, cough, chest pain, cyanosis, pulse rate, blood pressure, respiratory rate, crepitations, radiographic abnormalities, electrocardiogram[ncbi.nlm.nih.gov] He denied history of fever and chest pain. He was inducted to high-altitude area (height 11,500 ft) 4 months back.[ijamhrjournal.org]

  • Cardiac Arrhythmia

    She had a right sided facial nerve palsy and ipsilateral spastic hemiplegia. Sensations were spared.[ncbi.nlm.nih.gov] The authors describe a young Indo-Asian man with cardiac sarcoidosis who presented acutely with chest pain and malignant cardiac arrhythmias.[ncbi.nlm.nih.gov] However, sustained or more serious irregular rhythms can pose a danger and lead to cardiac arrest. Some people don’t notice any symptoms.[augustahealth.org]

  • Cerebral Embolism

    Abstract A 28-year-old man presented with transient speech disturbance and right hemiplegia.[ncbi.nlm.nih.gov] , swelling and tenderness in your leg and you develop breathlessness and chest pain.[nhs.uk] Cardiac examination demonstrated a regular rate and rhythm with no appreciable murmurs, rubs, or gallops.[cathlabdigest.com]

  • Infective Endocarditis

    Peripheral embolism may manifest as stroke, hemiplegia, hematuria, unilateral blindness, myocardial or pulmonary infarction.[symptoma.com] Cardiac involvement is very uncommon - only about 0.01-2% of all cases.4,5 In most cases, the cysts develop asymptomatically, but heart cysts could manifest with chest pain[ncbi.nlm.nih.gov] Additional signs indicating left ventricular failure include a laterally displaced apex beat (which occurs if the heart is enlarged) and a gallop rhythm (additional heart[en.wikipedia.org]

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