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14 Possible Causes for Diminished Heart Sounds, Pericardial Knock, Retrosternal Chest Pain

  • 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] chest pain, often radiating to the neck, shoulders, or back.[clevelandclinicmeded.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] After 90 hours of 5-fluorouracil infusion, he developed severe retrosternal chest pain.[ncbi.nlm.nih.gov] Other causes are autoimmune conditions, infection, chest trauma, cardiac surgery, or cardiac procedure. The presenting symptom is retrosternal chest pain.[ncbi.nlm.nih.gov]

  • 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] chest pain Apical impulse difficult to locate or nonpalpable Pallor, cold sweats Symptoms of left heart failure and symptoms of right heart failure Cardiogenic shock , asystole[amboss.com]

  • 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] Nevertheless, the retrosternal chest pain in acute pericarditis is very similar to that in STEMI.[ecgwaves.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] knock Tension pneumothorax distinguishing factors decreased or absent breath sounds hyperresonant percussion Treatment Management approach all approaches focus on removal[medbullets.com] chest pain Apical impulse difficult to locate or nonpalpable Pallor, cold sweats Symptoms of left heart failure and symptoms of right heart failure Cardiogenic shock, asystole[amboss.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] We report a rare case of a mediastinal malignant granular cell tumor in a 41-year-old man presenting with dyspnea, retrosternal chest pain, and recurrent pericardial effusion[ncbi.nlm.nih.gov]

  • Suppurative Pericarditis

    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] The common clinical presentation involves; pyrexia, retrosternal chest pain and breathlessness.[jstcr.org]

  • 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] chest pain, often radiating to the neck, shoulders, or back.[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] chest pain, often radiating to the neck, shoulders, or back.[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]

  • 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] chest pain, often radiating to the neck, shoulders, or back.[clevelandclinicmeded.com]