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22 Possible Causes for Chest Pain Worse when Lying Down, Electrocardiogram Change

  • Pericarditis

    Echocardiograms may reveal accumulation of fluid in the pericardial sac, and electrocardiograms (ECG) show characteristic changes.[britannica.com] It can be made worse when lying down, coughing, or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate.[webmd.com] Troponin levels increase in 35-50% of people with pericarditis.[7] Electrocardiogram (ECG) changes in acute pericarditis mainly indicates inflammation of the epicardium (the[en.wikipedia.org]

  • Acute Pericarditis

    changes, new/worsening pericardial effusion).[2minutemedicine.com] It is usually worse when coughing, eating and lying down. Sitting up or leaning forward will usually help relieve the pain.[your.md] At this stage, Electrocardiogram changes occur several days after the onset of pericarditis symptoms.[en.my-ekg.com]

  • Aortic Valve Stenosis

    Additional tests may include an MRI, an exercise stress test, electrocardiogram (ECG/EKG), and diagnostic cardiac catheterization.[mainlinehealth.org] If heart failure, loss of consciousness, or heart related chest pain occurs due to AS the outcomes are worse.[en.wikipedia.org] An electrocardiogram (ECG) is necessary since it depicts arrhythmias, ischemic changes, and LVH.[symptoma.com]

  • Dressler Syndrome

    Electrocardiogram (EKG) changes with pericarditis may be seen. Imaging studies may reveal pericardial and pleural effusions as well as thickening of the pericardium. A.[clinicaladvisor.com] Symptoms include: chest pain that’s worse when lying down chest pain that worsens with deep breathing or coughing (pleuritic pain) fever difficult or labored breathing fatigue[healthline.com] […] on the electrocardiogram.[verywellhealth.com]

  • Toxic Myocarditis

    (ECG) [2] ECG changes are often nonspecific.[explainmedicine.com] The unique presentation of substernal pain that is worse during inspiration or when the patient is lying down and is relieved by leaning forward is helpful in making the diagnosis[atsu.edu] The following ways are used to diagnose myocarditis: [5] Electrocardiogram- Identifies nonspecific T-wave changes.[en.wikibooks.org]

  • Suppurative Pericarditis

    (ECG) changes, and fluid around the heart. [6] Other conditions that may produce similar symptoms include a heart attack. [1] Treatment in most cases is with NSAIDs and possibly[en.wikipedia.org] There is often a pericardial friction rub with serial changes on the electrocardiogram.[medical-dictionary.thefreedictionary.com] The unique presentation of substernal pain that is worse during inspiration or when the patient is lying down and is relieved by leaning forward is helpful in making the diagnosis[atsu.edu]

  • Familial Pericarditis

    Tests for pericarditis include: an electrocardiogram (ECG) to look for changes in your heart rhythm an echocardiogram (echo) to look for excess fluid a chest X-ray to look[bhf.org.uk] pain. [1] The pain may also be felt in the shoulders, neck, or back. [1] It is typically better sitting up and worse when lying down or breathing deeply. [1] Other symptoms[en.wikipedia.org] The electrocardiogram (ECG) in acute pericarditis without massive effusion usually displays changes secondary to acute subepicardial inflammation ( Fig. 288-1 ).[accessmedicine.mhmedical.com]

  • Myocardial Abscess

    His electrocardiogram revealed non-specific ST-changes but no conduction abnormality. His chest X-ray was unremarkable.[jmedicalcasereports.biomedcentral.com] The unique presentation of substernal pain that is worse during inspiration or when the patient is lying down and is relieved by leaning forward is helpful in making the diagnosis[atsu.edu] Chest radiographs can be used to reveal the flask-shaped, enlarged cardiac silhouette due to large amounts of fluid being present in the pericardium.[atsu.edu]

  • Acute Pleuropericarditis

    At this stage, Electrocardiogram changes occur several days after the onset of pericarditis symptoms.[en.my-ekg.com] It can be made worse when lying down, coughing, or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate.[webmd.com] It may also be worse when lying down and can also cause pain when swallowing.[wattletreecardiology.com.au]

  • Pancreatitis

    Electrocardiogram was normal. No changes were seen in chest and abdominal X-rays. Antibiotic coverage and fluid therapy were started, and absolute diet was maintained.[revistanefrologia.com] Symptoms Acute disease: moderate to severe abdominal pain that may spread to the chest, back, and sides (and is often worse when lying down); nausea and vomiting; abdominal[healthcentral.com] Chronic: constant or episodic abdominal pain; weight loss; bulky, floating stools.[healthcentral.com]

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