Create issue ticket

18 Possible Causes for Diminished Heart Sounds, Hypotension, Pericardial Knock

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

  • 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] […] friction rub classically triphasic, two components in diastole and one in systole may be transient signs of tamponade classically Beck's triad, with jugular venous distension, hypotension[radiopaedia.org]

  • 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] KEY POINTS Slow accumulation of pericardial fluid can result in edema, whereas rapid accumulation leads to hypotension.[doi.org]

  • 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] Rapid reactive reaccumulation of the pericardial fluid was thought to be a cause of hypotension.[ncbi.nlm.nih.gov] Shortly after completing treatment, she presented with weakness and was found to be hypotensive on physical exam.[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] […] effusive-constrictive pericarditis with tamponade from coxsackievirus B should be considered in patients presenting with chest pain, dyspnea, jugular venous distention, hypotension[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] Case presentation A 83-year-old hypertensive man presented to the Emergency Department for dizziness and hypotension.[bmccardiovascdisord.biomedcentral.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] Clinical signs in a patient with cardiac tamponade include tachycardia, hypotension, pulsus paradoxus, raised jugular venous pressure, muffled heart sounds, decreased electrocardiographic[en.my-ekg.com] Precautions: Dehydration, hypotension, electrolyte imbalances, may precipitate renal failure. Contraindications: Hypotension, Sulfa allergy.[ceufast.com]

  • 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] ( Orthostatic hypotension ) - Rheumatic fever See also congenital ( Q20-Q28, 745-747 )[wikidoc.org]

  • Post-Infarction Pericarditis

    heart sounds, or a pericardial rub.[mededmasters.com] knock Peripheral edema Ascites Diagnosis of constrictive pericarditis EKG-non-specific ST and T wave changes Chest xray-calcification Transthoracic echo** IMPORTANT with[quizlet.com] On hospital day 4, she developed bradycardia and hypotension; emergent TTE revealed pericardial tamponade with ventricular wall rupture.[neurology.org]

  • Distended Neck Veins

    , 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] A sharp heart sound called a “pericardial knock” is heard in early diastole. Unless other problems are present, the lungs are usually clear on auscultation.[aafp.org] Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries. N Engl J Med 1994; 331(17):1105-1109. ‏[books.google.com]

Similar symptoms