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

  • Chronic Constrictive Pericarditis

    .  Reduced cardiac output is a consequence of impaired ventricular filling and causes fatigue, muscle wasting, and weight loss.  In “absolute” constriction, contractile[slideshare.net] 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]

  • Constrictive Pericarditis

    A patient with a history of multiple cardiac surgeries presented with marked fatigue, worsening dyspnea and sinus tachycardia.[ncbi.nlm.nih.gov] 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]

  • 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] CASE REPORT We present a case of a 61-year-old man with metastatic small cell lung cancer undergoing chemotherapy who presented with fatigue, poor appetite, and altered mental[ncbi.nlm.nih.gov] 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]

  • Acute Pericarditis

    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] 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] The patient presented with complaints of fever, chest pain, fatigue, and shortness of breath.[ncbi.nlm.nih.gov]

  • Cardiac Tamponade

    […] physicians must maintain a high index of suspicion in making the diagnosis of CT as patients may present with vague symptoms such as neck or back pain, shortness of breath, fatigue[ncbi.nlm.nih.gov] , 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]

  • Pericarditis

    Clinical signs include fatigue, muscle wasting, and weight loss Applies To Concato's disease Pick's disease of heart (and liver) ICD-9-CM Volume 2 Index entries containing[icd9data.com] […] 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]

  • Malignant Pericardial Effusion

    A 52-year-old woman with stage IV ovarian adenocarcinoma presented with worsening cough, dyspnea, and fatigue.[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] Symptoms may arise gradually or rapidly, depending on fluid accumulation rate, and may range from dyspnoea, chest pain, cough, palpitations and orthopnoea, to fatigue, anxiety[oncologypro.esmo.org]

  • Pericardial Calcification

    […] pericardium with obliteration of the pericardial space This produces uniform restriction of the filling of all heart chambers Signs and Symptoms Reduced cardiac output ( fatigue[learningradiology.com] 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]

  • Suppurative Pericarditis

    Cardiac tamponade Patients may present subacutely with symptoms of anxiety, dyspnea, fatigue, or altered mental status.[odlarmed.com] On auscultation the heart sounds I, II were distant and no murmurs were heard.[biomedsearch.com] Sometimes a patient with pericarditis has an early diastolic sound or pericardial knock, which can be confused with a third heart sound (S3).[tele.med.ru]

  • Pericardial Friction Rub

    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] […] 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]

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