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820 Possible Causes for Diminished Heart Sounds, Dyspnea at Rest, 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] Negative predictors of survival were found to be preoperative NYHA class IV (P 0.01), low-voltage electrocardiogram (ECG) (P 0.01), ascites (P 0.01), dyspnea at rest (P 0.05[ncbi.nlm.nih.gov] 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]

  • 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] 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] knock Tension pneumothorax distinguishing factors decreased or absent breath sounds hyperresonant percussion Treatment Management approach all approaches focus on removal[medbullets.com]

  • 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] Early diastolic heart sound (pericardial knock)? Bilateral pleural effusions?[clinicaladvisor.com] knock (60–200 msec after the second heart sound), which is caused by sudden termination of ventricular inflow by the encasing pericardium.[clevelandclinicmeded.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] Tachypnea and dyspnea on exertion that progresses to air hunger at rest are the key symptoms, but it may not be possible to obtain such information from patients who are unconscious[rjmatthewsmd.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]

  • Malignant Pericardial Effusion

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

  • Acute Myocardial Infarction

    Heart On palpation, lateral displacement of the apical impulse, dyskinesis, a palpable S 4 gallop, and a soft S 1 sound may be found.[emedicine.medscape.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] These signs indicate diminished contractility of the compromised left ventricle.[emedicine.medscape.com]

    Missing: Pericardial Knock
  • Obesity

    BMC Res Notes. 2018 Sep 25;11(1):680. doi: 10.1186/s13104-018-3787-6. Author information 1 Patanjali Research Foundation, Patanjali Yogpeeth, Haridwar, Uttarakhand, 249405, India. shirleytelles@gmail.com. 2 Patanjali Research Foundation, Patanjali Yogpeeth, Haridwar, Uttarakhand, 249405, India. Abstract OBJECTIVE: Central[…][ncbi.nlm.nih.gov]

    Missing: Pericardial Knock
  • Chronic Obstructive Pulmonary Disease

    The diagnosis of chronic obstructive pulmonary disease (COPD) should be suspected in patients with risk factors (primarily a history of smoking) who report dyspnea at rest[ncbi.nlm.nih.gov] Long-acting bronchodilators have recently been shown to reduce hyperinflation during both rest and exercise in moderate to severe COPD.[ncbi.nlm.nih.gov] The corollary of this is that any intervention that reduces end-expiratory lung volume will improve effort–displacement ratios and alleviate dyspnea.[doi.org]

    Missing: Pericardial Knock
  • Morbid Obesity

    Morbid obesity is associated with liver pathology, most commonly non-alcoholic steatohepatitis (NASH) leading to cirrhosis. However, the morbid obesity impedes qualification for organ transplantation. We present a case report of a 56-year-old woman who underwent bariatric procedure followed by liver transplantation[…][ncbi.nlm.nih.gov]

    Missing: Pericardial Knock
  • Myocardial Infarction

    Heart On palpation, lateral displacement of the apical impulse, dyskinesis, a palpable S 4 gallop, and a soft S 1 sound may be found.[emedicine.medscape.com] These signs indicate diminished contractility of the compromised left ventricle.[emedicine.medscape.com]

    Missing: Pericardial Knock