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35 Possible Causes for Cyanosis, Dyspnea at Rest, Pulsus Alternans

  • Heart Failure

    (cardiac asthma), pooling of blood (stasis) in the general body (systemic) circulation or in the liver's (portal) circulation, swelling ( edema ), blueness or duskiness (cyanosis[medterms.com] These include, among others: Dyspnea ( exertional-, dyspnea at rest, orthopnea, paroxysmal nocturnal dyspnea); Fatigue, inadequate exhaustion after stress, weakness, lethargy[flexikon.doccheck.com] alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info]

  • Congestive Heart Failure

    (cardiac asthma), pooling of blood (stasis) in the general body (systemic) circulation or in the liver's (portal) circulation, swelling ( edema ), blueness or duskiness (cyanosis[medterms.com] Initially dyspnea occurs only at exertion. Later on orthopnea and paroxysmal nocturnal dyspnea also develop. Later on dyspnea occurs even at rest.[symptoma.com] alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info]

  • Pulmonary Edema

    The accumulation of fluids in the lungs fill in the air sacs and manifest externally dyspnea, chest pain, and cyanosis.[symptoma.com] High altitude pulmonary edema (HAPE) is a form of high altitude illness characterized by cough, dyspnea upon exertion progressing to dyspnea at rest and eventual death, seen[ncbi.nlm.nih.gov] Class IV is defined by symptoms at rest or with any physical activity.[radcliffecardiology.com]

  • Cardiomyopathy

    There are five useful clinical signs to establish the presence and severity of cardiomyopathy: general appearance (cachexia and dyspnea at rest indicate severe impairment)[clevelandclinicmeded.com] […] mitral valve cusp towards the septum LVOT pressure gradient via doppler echocardiography Provocation tests (see below) are obligatory if no obstruction is discernible at rest[amboss.com] Exercise testing Used for risk assessment and evaluation of LVOT Treadmill or bicycle exercise test Clinical observation for development of symptoms (e.g., dyspnea , palpitations[amboss.com]

  • Rheumatic Heart Disease

    (iv) Central cyanosis due to right-to-left shunt, reduced oxygen concentration in the arterial blood, or pulmonary vascular disease. c.[ssa.gov] […] coronary artery disease (CAD)冠[状]動脈疾患 coronary circulation 冠循環 coronary risk factor冠危険因子 corrected transposition of great arteries修正大血管転位[症] countershock電気ショック cusp[弁]尖 cyanosis[tokyo-med.ac.jp] (i) Symptoms of congestion or of limited cardiac output include easy fatigue, weakness, shortness of breath (dyspnea), cough, or chest discomfort at rest or with activity.[ssa.gov]

  • Chronic Right-Sided Congestive Heart Failure

    Go through your normal ABCs, look for signs of cardiogenic shock such as cyanosis, clammy, and diaphoretic skin.[medictests.com] The clinical signs and symptoms of heart failure are common: dyspnea on exertion is the most common complaint and can worsen to dyspnea at rest.[epmonthly.com] alternans, (alternating pulses, strong weak), Increased heart rate, PMI displaced inferiorly and posteriorly.[quizlet.com]

  • Acute Myocardial Infarction

    […] mortality 17%) Class III: Pulmonary edema (mortality 38%) Class IV: Cardiogenic shock defined as systolic blood pressure 90 mm Hg and signs of hypoperfusion such as oliguria, cyanosis[healio.com] After 48h following the accident, the patient's condition rapidly deteriorated, with severe dyspnea at rest, tachycardia, and increasing chest pain.[ncbi.nlm.nih.gov] Extremities Peripheral cyanosis, edema, pallor, diminished pulse volume, delayed rise, and delayed capillary refill may indicate vasoconstriction, diminished cardiac output[emedicine.medscape.com]

  • Myocardial Infarction

    Killip IV: 47 (19%) with cardiogenic shock or arterial hypotension (measured as systolic blood pressure 90 mmHg), and evidence of peripheral vasoconstriction (oliguria, cyanosis[scielo.br] Sputum analysis can also give clues to the underlying process, as can findings such as clubbing and cyanosis.[web.archive.org]

  • Cardiac Tamponade

    Other frequent symptoms are pulsus paradoxus, pericardial friction sounds, tachycardia, tachypnea, weakened peripheral pulses, edema, cyanosis.[ecgwaves.com] We report a case of eosinophilic granulomatosis with polyangiitis in a 50-year-old Caucasian woman who presented with chest pain, dyspnea at rest, fever, and periorbital swelling[ncbi.nlm.nih.gov] Pulsus paradoxus was 20 mmHg. The electrocardiogram showed low-voltage QRS complex with electrical alternans.[ncbi.nlm.nih.gov]

  • Dilated Cardiomyopathy

    Other findings which are of importance include: cyanosis, clubbing, jugular venous distension, pulmonary edema, S 3 gallop, enlarged liver and peripheral edema.[symptoma.com] At presentation she had dyspnea at rest, orthopnea and paroxysmal nocturnal dyspnea.[doi.org] Pulsus alternans is an infrequent, complex pathophysiologic sign often associated with severe heart failure.[ncbi.nlm.nih.gov]

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