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19 Possible Causes for Diminished Heart Sounds, Dyspnea, Pericardial Knock

  • Chronic Constrictive Pericarditis

    Signs may include hypotension, elevated jugular venous pressure (JVP) and diminished heart sounds (Beck's triad or acute compression triad described in 1935 with cardiac tamponade[patient.info] The beginning of this anomalous movement was coincident with the pericardial knock in the phonocardiogram and its peak was coincident with the simultaneously recorded deep[ncbi.nlm.nih.gov] We present a patient with unexplained dyspnea, recurrent right-side pleural effusion, and ascites.[hindawi.com]

  • Pericardial Effusion

    On physical examination classical signs include neck vein distention with elevated jugular venous pressure at bedside examination, pulsus paradoxus, and diminished heart sounds[eurheartj.oxfordjournals.org] See also constrictive pericarditis. pericardial friction rub see pericardial rub. pericardial knock an early diastolic sound caused by loss of pericardial elasticity accompanying[medical-dictionary.thefreedictionary.com] However, she began to experience dyspnea on exertion leading to admission.[ncbi.nlm.nih.gov]

  • Cardiac Tamponade

    , and diminished heart sounds) Cold, clammy extremities Anxiety, restlessness Diagnosis Blood tests EKG, Chest X-ray Cardiac ECHO Treatment Oxygen IV fluids Medications to[cardiachealth.org] knock Tension pneumothorax distinguishing factors decreased or absent breath sounds hyperresonant percussion Treatment Management approach all approaches focus on removal[medbullets.com] Thus, edema and dyspnea are more prominent features of cardiac tamponade when there is a slow rise in pericardial pressure.[doi.org]

  • Acute Pericarditis

    Accordingly, patients present with fatigue, jugular vein distention, peripheral edema, and a characteristic pericardial knock on auscultation, caused by a sudden stop in ventricular[amboss.com] One month later, AST and ALT were found as 65 IU/L and 82 IU/L, respectively; there were symptoms of effort dyspnea and fatigue.[ncbi.nlm.nih.gov] He had developed shortness of breath 7 days prior to hospitalization and was admitted with severe dyspnea.[ncbi.nlm.nih.gov]

  • Malignant Pericardial Effusion

    knock (60–200 msec after the second heart sound), which is caused by sudden termination of ventricular inflow by the encasing pericardium.[clevelandclinicmeded.com] Six patients had exertional dyspnea and 13 had dyspnea at rest; three needed emergency pericardiocentesis.[ncbi.nlm.nih.gov] The only common clinical feature shared by the patients was dyspnea.[ncbi.nlm.nih.gov]

  • Constrictive Pericarditis

    Signs may include hypotension, elevated jugular venous pressure (JVP) and diminished heart sounds (Beck's triad or acute compression triad described in 1935 with cardiac tamponade[patient.info] Pericardial Knock (Constrictive Pericarditis) The early diastolic sound of pericardial constriction occurs slightly earlier than the average third heart sound.[podbay.fm] A 37-year-old patient was admitted in the hospital for dyspnea, precordial pain, right-sided cardiac failure.[ncbi.nlm.nih.gov]

  • Pericardial Calcification

    Signs may include hypotension, elevated jugular venous pressure (JVP) and diminished heart sounds (Beck's triad or acute compression triad described in 1935 with cardiac tamponade[patient.info] Physical examination revealed increased jugular venous pressure (14 cm of water), ascites along with presence of Kussmaul sign and pericardial knock.[jacpjournal.org] […] tachycardia ) Elevated systemic venous pressure ( jugular venous distension, hepatomegaly with marked ascites and peripheral edema ) Pulmonary venous congestion ( exertional dyspnea[learningradiology.com]

  • Pericarditis

    […] dullness, diminished or absent apical impulse, and distant heart sounds.[healthcentral.com] knock. [11] Treatment [ edit ] The definitive treatment for constrictive pericarditis is pericardial stripping, which is a surgical procedure where the entire pericardium[en.wikipedia.org] A 36-year-old pregnant woman was visiting the emergency department for dyspnea and flu-like syndrom that had been going on for a week.[ncbi.nlm.nih.gov]

  • Ascites

    Heart auscultation was normal. Lung auscultation detected diminished breath sounds at the lower right lung.[scielo.isciii.es] Examination showed elevated jugular venous pressure with two prominent descents, high pitched diastolic heart sound (pericardial knock).[ncbi.nlm.nih.gov] Because of dyspnea, paracentesis was performed in all cases. RESULTS: Median AsI at which patients reported dyspnea was 29.0 cm (range 21.6-38.6 cm).[ncbi.nlm.nih.gov]

  • Pericardial Friction Rub

    […] volume variable Heart sounds abnormal Heart sounds different Heart sounds diminished Heart sounds exaggerated Holodiastolic murmur Increased area of cardiac dullness Irregular[icd9data.com] See also constrictive pericarditis. pericardial friction rub see pericardial rub. pericardial knock an early diastolic sound caused by loss of pericardial elasticity accompanying[medical-dictionary.thefreedictionary.com] References: [3] [4] [2] Clinical features Acute pericarditis Low-grade intermittent fever, tachypnea, dyspnea, nonproductive cough Chest pain : often sharp, pleuritic ; improves[amboss.com]

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