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12 Possible Causes for Diminished Heart Sounds, Non Specific ST-T Changes, 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] CONSTRICTION RESTRICTION Prominent y descent in venous pressure Present Variable Paradoxical pulse 1/3rd of cases Absent Pericardial knock Present Absent Equal right- and[slideshare.net]

  • 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] On auscultation, heart sounds were found to be diminished.[casesjournal.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] 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]

  • 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] Constrictive effusive pericarditis consists of a tense pericardial effusion in the presence of pericardial constriction, and both tamponade and constrictive signs and symptoms[clevelandclinicmeded.com] […] pressure on inspiration), which is sensitive but not specific for constrictive pericarditis. 23 Auscultation may reveal muffled heart sounds and occasionally a characteristic pericardial[clevelandclinicmeded.com]

  • 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] EKG 1,4 low voltage QRS, tachycardia, electrical alternans, PR depression, non-specific ST-T wave changes CXR 1,4 increased cardiac silhouette as compared to previous (most[emdocs.net] knock Tension pneumothorax distinguishing factors decreased or absent breath sounds hyperresonant percussion Treatment Management approach all approaches focus on removal[medbullets.com]

  • Suppurative Pericarditis

    On auscultation the heart sounds I, II were distant and no murmurs were heard.[biomedsearch.com] ST-T changes in association with pericardial effusion Renal failure associated with severe kidney infection Autoimmune disease Medication When You Suffer Pericarditis During[pericarditispain.info] 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]

  • 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] ST and T-wave changes are common features of CP.[ejcts.oxfordjournals.org] Pericardial Knock (Constrictive Pericarditis) The early diastolic sound of pericardial constriction occurs slightly earlier than the average third heart sound.[podbay.fm]

  • Pericardial Neoplasm

    Heart auscultation was normal. Lung auscultation detected diminished breath sounds at the lower right lung.[scielo.isciii.es] knock, hepatomegaly, ascites, peripheral oedema, and pleural effusion.[textbookofcardiology.org] 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 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] EKG: NSR, probable left atrial abnormality, non-specific IVCD, abnormal R wave progression, & ST-T wave changes TTE: Done at another institution is said to have shown a normal[scmr.org] Physical examination revealed increased jugular venous pressure (14 cm of water), ascites along with presence of Kussmaul sign and pericardial knock.[jacpjournal.org]

  • Radiation 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] ST and T wave changes or ST segment elevation in all leads may be noted.[wikidoc.org] Auscultation of the heart may reveal a loud diastolic sound - pericardial "knock", produced by abrupt cessation of ventricular filling by the stiff pericardium.[brown.edu]