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10 Possible Causes for Diminished Heart Sounds, Pericardial Knock, Subacute Clinical Course

  • 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] Hospital admission should be reserved for patients with high fever, subacute clinical course, cardiac tamponade, severe effusion, myocardial involvement, and for immunodepressed[revespcardiol.org] Early diastolic heart sound (pericardial knock)? Bilateral pleural effusions?[clinicaladvisor.com]

  • 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] Other features which suggest a more complex course include fever 38 C, subacute onset, lack of response to at least one week of anti-inflammatory therapy, myopericarditis,[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] Other features which suggest a more complex course include fever 38 C, subacute onset, lack of response to at least one week of anti-inflammatory therapy, myopericarditis,[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 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] Other features which suggest a more complex course include fever 38 C, subacute onset, lack of response to at least one week of anti-inflammatory therapy, myopericarditis,[clevelandclinicmeded.com]

  • 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] Other features which suggest a more complex course include fever 38 C, subacute onset, lack of response to at least one week of anti-inflammatory therapy, myopericarditis,[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] Other features which suggest a more complex course include fever 38 C, subacute onset, lack of response to at least one week of anti-inflammatory therapy, myopericarditis,[clevelandclinicmeded.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] Hospital admission should be reserved for patients with high fever, subacute clinical course, cardiac tamponade, severe effusion, myocardial involvement, and for immunodepressed[revespcardiol.org]

  • Pericardial Disorder

    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] Other features which suggest a more complex course include fever 38 C, subacute onset, lack of response to at least one week of anti-inflammatory therapy, myopericarditis,[clevelandclinicmeded.com] Kussmaul sign and pericardial knock are other typical physical findings.[thoracickey.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] Certain features at presentation (temperature 38 C [ 100.4 F], subacute course, large effusion or tamponade, and failure of nonsteroidal anti-inflammatory drug [NSAID] treatment[ncbi.nlm.nih.gov]

  • 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] Other features which suggest a more complex course include fever 38 C, subacute onset, lack of response to at least one week of anti-inflammatory therapy, myopericarditis,[clevelandclinicmeded.com]