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45 Possible Causes for Chronic Hypotension, Narrow Pulse Pressure

  • Anemia

    Class III (30-40% blood loss) always leads to a measurable decrease in blood pressure as well as significant tachycardia and a narrow pulse pressure.[emedicine.com] Class I ( Class II (15-30% blood loss) – Tachycardia, tachypnea, and a decreased pulse pressure are seen.[emedicine.com]

  • Congestive Heart Failure

    Signs There may be a tachycardia at rest, low systolic blood pressure (BP), a displaced apex (LV dilatation) or RV heave (pulmonary hypertension), a narrow pulse pressure[patient.info] Therefore, ASV may be effective for treating CHF in HD patients with LV dysfunction and chronic hypotension.[ncbi.nlm.nih.gov] Chronic kidney disease, heart failure, sedatives, and hypoventilation might have contributed to refractory hypotension due to severe acidosis in this case.[ncbi.nlm.nih.gov]

  • Hypovolemia

    If the difference is less than 25 percent of the systolic blood pressure, the pulse pressure is considered to be narrow.[ems1.com] The authors studied the role of rate of infusion in this observation in chronically prepared dogs (aortic flow probe, right atrial pressure and volume, and arterial catheters[trauma.org] Class IV hemorrhage (loss of 40%) Symptoms include the following: marked tachycardia, decreased systolic BP, narrowed pulse pressure (or immeasurable diastolic pressure),[emedicine.medscape.com]

  • Aortic Valve Stenosis

    Signs Examination of the pulse in significant AS reveals a slow-rising, flat character called pulsus parvus et tardus. [ 7 ] Blood pressure will show a narrow pulse pressure[patient.info] Chronic HF patients undergoing hemodynamic tailoring with a low-dose β-agonist or PDI can usually be monitored noninvasively.[doi.org] Clinical examination classically reveals a narrow pulse pressure, a slow-rising peripheral pulse, pulsus parvus et tardus (weak and delayed pulse) in the carotid pulse, a[radiopaedia.org]

  • Addison's Disease

    The patient also exhibited general fatigue, pigmentation, weight loss, hypotension and hyponatremia, suggestive of chronic adrenocortical insufficiency.[ncbi.nlm.nih.gov] Orthostatic hypotension, fever, and hypoglycemia characterize acute adrenal crisis, whereas chronic primary adrenal insufficiency presents with a more insidious history of[ncbi.nlm.nih.gov] Depends on the course of the disease: acute stage: the patient presents with fever, back pain, hypotension, weakness chronic stage : progressive lethargy, weakness, cutaneous[radiopaedia.org]

  • Myxedema

    pulse pressure.[emedicine.com] Patients may also demonstrate hypotension, bradycardia, hypoventilation, hyponatremia, and hypoglycemia.[openanesthesia.org] […] the effect of alpha-adrenergic receptors, increased catecholamines, and increased systemic vascular resistance, causing some patients to have diastolic hypertension and a narrowed[emedicine.com]

  • Restrictive Cardiomyopathy

    Haemodynamic features delineated in the 1940s and '50s included the narrow pulse pressure in the right ventricle with normal systolic pressure and greatly increased diastolic[heart.bmj.com]

  • Myocardial Infarction

    Obstructive Pulmonary Disease and Emphysema Hypotension Stroke Imaging Compartment Syndrome, Abdominal Mitral Regurgitation Tachycardia myopathy Contusions Mitral Valve Prolapse[physio-pedia.com] […] resulting in giddiness when under treatment, (vi) no established medical history of loss of consciousness or awareness due to a chronic or recurring condition, (vii) visual[gov.ns.ca] Cholecystitis Heart arrhythmias Pulmonary Hypertension, Primary Cholecystitis and Biliary Colic Heart rupture Radicular pain Cholelithiasis Herpes Zoster Shock, Cardiogenic Chronic[physio-pedia.com]

  • Cardiac Tamponade

    pulse pressure and pulsus paradoxus may also be observed. 2 The diagnosis can be rapidly confirmed by bedside ultrasound. 3 In traumatic cardiac tamponade, the treatment[westjem.com] The first of these triads consisted of hypotension, an increased venous pressure, and a quiet heart.[web.archive.org] Cardiac tamponade often presents as a cardiogenic obstructive shock with shortness of breath, tachycardia, hypotension with a narrow pulse pressure (but blood pressure may[acls.com]

  • Adrenergic Beta-Antagonist

    Beta adrenergic blocking agents: A class of drugs, also called beta blockers, that block beta-adrenergic substances such as adrenaline (epinephrine), a key agent in the "sympathetic" portion of the autonomic (involuntary) nervous system. By blocking the action of the sympathetic nervous system on the heart,[…][medicinenet.com]

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