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31 Possible Causes for Chest Pain Worse when Lying Down, Tachycardia

  • Pericarditis

    BACKGROUND: Pericardial adhesions can prevent epicardial access and restrict catheter movement during mapping and ablation of ventricular tachycardia (VT).[ncbi.nlm.nih.gov] 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] Echocardiography revealed the large amount of pericardial effusion, and he was admitted to test the cause of pericardial effusion without high fever, tachycardia, and shock[ncbi.nlm.nih.gov]

  • Acute Pericarditis

    Acute pericarditis is almost invariably associated with sinus tachycardia.[ncbi.nlm.nih.gov] It is usually worse when coughing, eating and lying down. Sitting up or leaning forward will usually help relieve the pain.[your.md] On physical examination, she had tachycardia, hepatomegaly, and muffled heart sounds.[ncbi.nlm.nih.gov]

  • Diaphragmatic Hernia

    […] two case reports; the first one is a patient of 74 years who presented with persistent epigastric pain, vomiting, slight to moderate dyspnea on exertion associated with tachycardia[ncbi.nlm.nih.gov] The infant also may be slightly blue, due to the lack of proper oxygen levels, and may have a fast heart rate (tachycardia) or rapid breathing (tachypnea).[uabmedicine.org] Other symptoms include: Bluish colored skin due to lack of oxygen Rapid breathing (tachypnea) Fast heart rate (tachycardia) Fetal ultrasound may show abdominal organs in the[nlm.nih.gov]

  • Rheumatoid Arthritis

    One week after admission, she developed fever, dyspnea, hypoxemia, tachycardia, and increased serum C-reactive protein level.[ncbi.nlm.nih.gov] Heart: inflammation of the tissue surrounding the heart (pericarditis) can cause chest pain, which tends to be worse when lying down.[onhealth.com] She suffers continual uncontrolled neuro/muscular contractions (jerking) and postural orthostatic tachycardia syndrome (POTS) and many other symptoms of systemic autoimmune[collective-evolution.com]

  • Pancreatitis

    Typical signs include epigastric tenderness, fever, and tachycardia.[bestpractice.bmj.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] Ventricular tachycardia/fibrillation. Cardiac arrest. Acute myocardial infarction. Pulmonary Respiratory rate 5 per minute or 50 per minute.[aafp.org]

  • Aortic Valve Stenosis

    If, during exercise, there was earlier-than-predicted fatigue or dyspnea or if ventricular tachycardia or hypotension was induced, I would refer the patient for aortic valve[doi.org] If heart failure, loss of consciousness, or heart related chest pain occurs due to AS the outcomes are worse.[en.wikipedia.org] Syncope at rest may be due to transient ventricular tachycardia, atrial fibrillation, or (if calcification of the valve extends into the conduction system) atrioventricular[emedicine.medscape.com]

  • Suppurative Pericarditis

    Tachycardia will lead to increase oxygen demand with reduction in blood supply because of the shorter duration of diastole, which reduces coronary blood flow.[biomedsearch.com] 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 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]

  • Dressler Syndrome

    Dressler beat - presence of Dressler beats strongly supporting the diagnosis of ventricular tachycardia by interruption of it.[medical-dictionary.thefreedictionary.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] ], myopericarditis [ 10 ], pacemaker implantation [ 11, 12 ], percutaneous puncture of the left ventricle [ 13 ], radiofrequency ablation of idiopathic left-ventricular tachycardia[em-consulte.com]

  • Toxic Myocarditis

    An electrocardiogram (ECG) showed sinus tachycardia with presumably new ST-segment elevation and signs of an incomplete right bundle branch block.[ncbi.nlm.nih.gov] 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] Many patients with acute viral infections may not experience any symptoms (asymptomatic) but ECG abnormalities and tachycardia ( rapid heart rate ) may be detected upon clinical[healthhype.com]

  • Pure Autonomic Failure

    The high level of epinine in one patient was associated with severe hypertension and tachycardia.[ncbi.nlm.nih.gov] Symptoms are worse when standing; sometimes one may relieve symptoms by lying down.[en.wikipedia.org] The cardiovascular effect of MCP in normal subjects was a transient hypotension counterbalanced by reflex tachycardia.[ncbi.nlm.nih.gov]

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