Cor Pulmonale & Increased Jugular Venous Pressure & Tachycardia: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Cor Pulmonale, Increased Jugular Venous Pressure, Tachycardia,

Negated

None

Unsure

None

Possible Causes

Chronic Right-Sided Congestive Heart Failure

The fluid status is checked by jugular venous pressure, which usually gets accentuated by the hepatojugular reflux. [newhealthadvisor.com]

Electrocardiogram • Old MI or recent MI • Arrhythmia • Some forms of Cardiomyopathy are tachycardia related • LBBB may help in management 28. [slideshare.net]

Chronic cor pulmonale develops gradually. [nmihi.com]

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Acute Cor Pulmonale

jugular venous pressure) are often obscured by hyperinflation of the chest6 which is present in a number of COPD patients. [ncbi.nlm.nih.gov]

75 ARDS patients submitted to protective ventilation revealed the persistence of a 25% incidence of ACP, resulting in detrimental hemodynamic consequences associated with tachycardia [ncbi.nlm.nih.gov]

In most of the reported cases, a clinical picture of subacute cor pulmonale developed. [ncbi.nlm.nih.gov]

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Pulmonary Embolism

Patients with concomitant right heart failure may present with increased jugular venous pressure and a right-sided S3. [journals.lww.com]

Neurological examination returned to base line status but sinus tachycardia and low saturation value on room air were continuing. [ncbi.nlm.nih.gov]

pulmonale in contrast to the well known cor pulmonale of chronic nature associated with progressive enlargement of the right side of the heart secondary to certain pulmonary [doi.org]

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Acute Massive Pulmonary Embolism

Atrial fibrillation, atrial flutter and atrial tachycardia are commonly described supraventricular tachycardias in association with PE; however, there is scant description [pulsus.com]

Excluding two patients with tumor occlusion of the pulmonary arteries and three patients with chronic cor pulmonale from old pulmonary emboli, the survival rate was 50%. [ncbi.nlm.nih.gov]

[…] without acute cor pulmonale I26.92 Saddle embolus of pulmonary artery without acute cor pulmonale I26.99 Other pulmonary embolism without acute cor pulmonale [icd10data.com]

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Cor Pulmonale

[…] and other neck and facial veins Increased jugular venous pressure Hepatomegaly Cyanosis Abnormal heart sounds Physical indicators of cor pulmonale on exam: Pulmonary hypertension [symptoma.com]

On admission the mare was in poor body condition, with severe inspiratory and expiratory dyspnoea associated with severe hypoxaemia and marked tachycardia. [onlinelibrary.wiley.com]

[…] lung diseases. [7] Cor Pulmonale Presentation The clinical manifestations of cor pulmonale may be nonspecific. [emedicine.medscape.com]

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Pericardial Effusion

In fact, drainage of fluid lowered the blood pressure in these patients. 3. Increased jugular venous pressure- which decreases during inspiration. 4. [iame.com]

Emergency physicians must maintain vigilance in suspecting pericardial effusion and tamponade in patients with known or suspected malignancy who present with tachycardia, [ncbi.nlm.nih.gov]

8-27-S2.ogv 0,0 s, 768 576; 6,88 MB Mediendatei abspielen Echocardiography-of-isolated-subacute-left-heart-tamponade-in-a-patient-with-cor-pulmonale-and-1476-7120-8-27-S3 [commons.wikimedia.org]

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Congestive Heart Failure

Right heart failure is characterized by low output syndrome with increased jugular venous pressure, increased liver size and hypotension. [doi.org]

ECG and telemetry revealed relatively slow supraventricular tachycardia, which did not trigger the alert, and catheter ablation successfully controlled the heart failure. [ncbi.nlm.nih.gov]

Heart Failure and Cor Pulmonale Sections: Heart Failure, Cor Pulmonale, Further Readings. Topics Discussed: heart diseases. [web.archive.org]

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Pulmonary Edema

In both procedures, patients developed severe hypertension and tachycardia, with subsequent oxygen desaturations with noted pulmonary edema. [ncbi.nlm.nih.gov]

Your doctor may need to adjust your treatment plan to help prevent cor pulmonale. You can prevent cor pulmonale by taking care of your heart and lungs. [healthline.com]

Results for the categorical variables were as follows: hyperglycemia (OR 10.25, 95% CI 4.82-21.76), tachycardia (OR 6.21, 95% CI 3.02-12.75), hypertension (OR 3.79, 95% CI [ncbi.nlm.nih.gov]

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Recurrent Pulmonary Embolism

[…] asymptomatic SOB pleuritic chest pain apprehension cough haemotypsis leg pain collapse massive PE acute cardiovascular collapse Examination pale, mottled skin tachypnoea tachycardia [lifeinthefastlane.com]

Greater attention is presently being directed toward the frequent occurrence of chronic embolization and its sequelae, chronic hypertension and cor pulmonale. 1 2 3 4 5 6 [nejm.org]

We present the case of a woman with KTWS, cor pulmonale, and death due to recurrent pulmonary embolism (PE). [ncbi.nlm.nih.gov]

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High Output Heart Failure

Physical findings are increased jugular venous pressure, tachycardia usually with a third heart sound, bilateral bibasilar crackles and a wide pulse pressure. [omicsonline.org]

Hyperthyroidism causes tachycardia-mediated cardiomyopathy and thus high output heart failure and is often accompanied by atrial fibrillation. [symptoma.com]

pulmonale, exercise, fever, high humidity, systemic HTN, obesity, pregnancy, emotional stress and temperature extremes, or non-physiologic in Albright's disease–polyostotic [medical-dictionary.thefreedictionary.com]

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Atrial Fibrillation

Head and neck Examination of the head and neck may reveal exophthalmos, thyromegaly, elevated jugular venous pressures, or cyanosis. [emedicine.medscape.com]

Circumferential pulmonary vein isolation and circumferential SVC isolation resulted in termination of tachycardia. [ncbi.nlm.nih.gov]

pulmonale Drug abuse Hyperthyroidism Pneumonia Pulmonary embolism Sleep apnea Clinical Presentation Atrial fibrillation has a wide spectrum of clinical presentations. [aafp.org]

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Myocardial Infarction

RV dysfunction should be considered in any patient who has inferoposterior infarction and elevated jugular venous pressure with hypotension or shock. [msdmanuals.com]

Bidirectional ventricular tachycardia (BVT) is a rare ventricular tachyarrhythmia. [ncbi.nlm.nih.gov]

QS complexes in the absence of MI Pre-excitation, obstructive or dialated cardiomyopathy, LBBB, left anterior hemiblock, left and right ventricular hypertrophy and acute cor [dx.doi.org]

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Cardiomyopathy

Junctional ectopic tachycardia (JET) is a rare form of arrhythmia that is most commonly seen during infancy. [ncbi.nlm.nih.gov]

cystic fibrosis, cor pulmonale, or pulmonary hypertension) 13.Ischemic coronary vascular disease 14.Association with drugs (e.g., growth hormone, corticosteroids, cocaine [clinicaltrials.gov]

pulmonale Key The criteria for left ventricular enlargement are based on data of Henry et al(Circulation1980;62:1054–61). [heart.bmj.com]

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Acute Myocardial Infarction

RV dysfunction should be considered in any patient who has inferoposterior infarction and elevated jugular venous pressure with hypotension or shock. [merckmanuals.com]

Bidirectional ventricular tachycardia (BVT) is a rare ventricular tachyarrhythmia. [ncbi.nlm.nih.gov]

QS complexes in the absence of MI Pre-excitation, obstructive or dialated cardiomyopathy, LBBB, left anterior hemiblock, left and right ventricular hypertrophy and acute cor [academic.oup.com]

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Cardiac Tamponade

Jugular enlargement – This vein engorges with the increasing jugular venous pressure. [symptoma.com]

Despite compensatory tachycardia, the decrease in cardiac filling leads to a fall in cardiac output and to arterial hypoperfusion of vital organs. [doi.org]

Currently, the most widely used applications of FUSA include the guidance and characterization of perioperative shock (acute cor pulmonale, left ventricular dysfunction, cardiac [ncbi.nlm.nih.gov]

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Restrictive Cardiomyopathy

Physical examination is notable for elevated jugular venous pressure, often with Kussmaul's sign (paradoxical increase in jugular venous pressure with inspiration). [clinicaladvisor.com]

[…] report the case of a young female with myofibrillar myopathy and deteriorating heart failure due to restrictive cardiomyopathy and recurrent atrial fibrillation and atrial tachycardias [ncbi.nlm.nih.gov]

The respiratory variation in restrictive cardiomyopathy is rarely enough to raise a suspicion of constrictive pericarditis, particularly if cases of cor pulmonale are correctly [heart.bmj.com]

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Chronic Thromboembolic Pulmonary Hypertension

[…] of one or more WHO functional class; worsening right ventricular failure (e.g., as indicated by increased jugular venous pressure; new/worsening hepatomegaly, ascites, or [clinicaltrials.gov]

PE 99,100 and found capable of identifying patients with very low rates of adverse events. 101 The index considers such factors like age, sex, comorbidities, presence of tachycardia [revespcardiol.org]

pulmonale I26.01 Septic pulmonary embolism with acute cor pulm... [icd10data.com]

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Basilar Artery Thrombosis with Occlusion of a Precerebral Artery

[…] systemic increased', 'venous pressure abnormal', 'venous pressure decreased', 'venous pressure increased', 'venous pressure jugular abnormal', 'venous pressure jugular decreased [definedterm.com]

427.1 Paroxysmal ventricular tachycardia 427.2 Paroxysmal tachycardia, unspecified 427.3 Atrial fibrillation & flutter 427.4 Ventricular fibrillation & flutter 427.5 Cardiac [csh.org.tw]

[AV] paroxysmal tachycardia Junctional paroxysmal tachycardia Nodal paroxysmal tachycardia I47.2 Ventricular tachycardia I47. 9 Paroxysmal tachycardia, unspecified Bouveret [en.wikisource.org]

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Amniotic Fluid Embolism

Symptoms of pulmonary embolism include tachycardia, tachypnea, and shortness of breath, all of which are common complaints in pregnancy. [ncbi.nlm.nih.gov]

Within minutes, cardiogenic shock develops, as a result of pulmonary hypertension and cor pulmonale, followed by pulmonary edema. [symptoma.com]

The acute onset of disease with cardiorespiratory failure with hypotension, tachycardia, cyanosis, respiratory disturbances and loss of consciousness, suggested at first a [ncbi.nlm.nih.gov]

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Right-Sided Heart Failure

Clinical examination may reveal tachycardia, increased jugular venous pressure with sometimes visible distension, while a heart murmur may be observed during auscultation. [symptoma.com]

A 44-year-old patient, with personal history of AIDS, was referred to our emergency unit with tachycardia and moderate signs of right-sided heart failure. [ncbi.nlm.nih.gov]

In patients with right sided heart failure, differentiating between cor-pulmonale, or cardiac sarcoidosis has important implications to management. [ncbi.nlm.nih.gov]

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Right Ventricular Disorder

A paradoxical increase in the jugular venous pressure during inspiration (Kussmaul sign) is indicative of right-sided heart failure and can be seen in RV failure, restrictive [merckmanuals.com]

Symptoms of ventricular tachycardia include: dizziness fainting fatigue chest pain shortness of breath The exact cause of ventricular tachycardia isn’t always known. [healthline.com]

“Acute cor pulmonale”. [clinicaladvisor.com]

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Idiopathic Pulmonary Fibrosis

As right ventricular hypertrophy ensues, a right ventricular heave may be palpated at the lower left sternal border and increased right atrial pressure may cause elevation [emedicine.medscape.com]

Symptoms of pulmonary hypertension include: dizziness feeling faint chest pain (angina) a racing heartbeat (tachycardia) Read more about symptoms of pulmonary hypertension [nhsinform.scot]

Cor pulmonale, one of the complications of this type of diffuse parenchymal lung disease is even rarer. [ncbi.nlm.nih.gov]

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Tricuspid Valve Insufficiency

[…] compliance and signs of right-sided failure appear: jugular venous distension, hepatic congestion, ascites, and peripheral edema. [ispub.com]

Symptoms of supraventricular tachycardia, which indicates the syndrome Wolff-Parkinson-white. [vascular.vsebolezni.com]

pulmonale). [ncbi.nlm.nih.gov]

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Heart Failure

Right heart failure is characterized by low output syndrome with increased jugular venous pressure, increased liver size and hypotension. [doi.org]

We describe the novel use of bilateral cardiac sympathectomy in a woman with end-stage heart failure caused by ventricular tachycardia refractory to standard medical therapy [ncbi.nlm.nih.gov]

Heart Failure and Cor Pulmonale Sections: Heart Failure, Cor Pulmonale, Further Readings. Topics Discussed: heart diseases. [web.archive.org]

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S3 Gallop

jugular venous pressure, rales, hepatomegaly, S3 gallop, blood pressure, with a measured blood volume. [freethesaurus.com]

If the heart rate is also very fast ( tachycardia ), it can become difficult to distinguish between S 3 and S 4 thus producing a single sound called a summation gallop. [popflock.com]

Any cause of ventricular dysfunction, including ischemic heart disease, dilated or hypertrophic cardiomyopathy, myocarditis, cor pulmonale, or acute valvular regurgitation [ncbi.nlm.nih.gov]

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Pericardial Neoplasm

Physical Examination Findings Increased ventricular filling pressures cause jugular venous distention and Kussmaul's sign (paradoxical rise in jugular venous pressure on inspiration [clevelandclinicmeded.com]

ECG was significant for electrical alternans with sinus tachycardia. [scientificoajournals.org]

In our patient, considering the young age and long term respiratory symptoms, genetic diseases with liver and lung impairment or heart failure (due to cor pulmonale, structural [scielo.isciii.es]

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T-Cell Lymphoblastic Lymphoma

Tachycardia occurs when these beat too fast. Tachycardia refers to a high resting heart rate. [medicalnewstoday.com]

 Damage to heart tissue: Acute injury as myocardial infarction, trauma, infection, congestive heart failure or cor pulmonale can increase the heart rate. 22. [slideshare.net]

tachycardia. [ecgwaves.com]

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Pericardial Friction Rub

Review Topic QID: 100620 1 Increase in jugular venous pressure on inspiration 2 Exaggerated amplitude of pulse on inspiration 4 Continuous machine-like murmur M1 Select Answer [medbullets.com]

[…] component rub) Site: Over pericardium, often loudest at LLSB Sound farther from chest wall Rub often transient Note: many patients with a pericardial friction rub also have a tachycardia [depts.washington.edu]

pulmonale Pericardium Pericarditis - Pericardial effusion - Cardiac tamponade Endocardium / heart valves Endocarditis - mitral valve ( regurgitation, prolapse, stenosis ) [wikidoc.org]

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Superior Vena Cava Syndrome

Zoom Symptoms The clinical signs are related to the increase in venous pressure upstream from the SVC obstacle and the development of venous shunts ( Figure 13 ). [em-consulte.com]

Tachycardia, hoarseness, stridor, respiratory distress and cerebral edema with ischemia and herniation may be encountered in severe cases. [symptoma.com]

pulmonale Pericardium Pericarditis - Pericardial effusion - Cardiac tamponade Endocardium / heart valves Endocarditis - mitral valve ( regurgitation, prolapse, stenosis ) [wikidoc.org]

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Central Venous Pressure Increased

Drazner et al. ( 13 ) reported that in patients with increased jugular venous pressure on examination, serum creatinine was significantly greater. [onlinejacc.org]

Other clinical signs include tachycardia, widened pulse pressure, pulmonary crackles, an S3 gallop, and bounding pulses. [medicalgeek.com]

pulmonale tamponade Tricuspid regurgitation or stenosis Complete heart block Constrictive pericarditis Determining: mechanical atrial capture with AV pacing presence of P [litfl.com]

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