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24 Possible Causes for Distended Neck Veins, Dyspnea at Rest, Pulsus Alternans

  • Congestive Heart Failure

    Initially dyspnea occurs only at exertion. Later on orthopnea and paroxysmal nocturnal dyspnea also develop. Later on dyspnea occurs even at rest.[symptoma.com] alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] veins that stick out (are distended) Sounds (crackles) from fluid buildup in your lungs, heard through a stethoscope Swelling of the liver or abdomen Uneven or fast heartbeat[nlm.nih.gov]

  • Pulmonary Edema

    High altitude pulmonary edema (HAPE) is a form of high altitude illness characterized by cough, dyspnea upon exertion progressing to dyspnea at rest and eventual death, seen[ncbi.nlm.nih.gov] Class IV is defined by symptoms at rest or with any physical activity.[radcliffecardiology.com] Entry required HF symptoms at rest or minimal exertion and signs of congestion ( 2 of the following: dyspnea, jugular venous distention, or peripheral edema) at time of randomization[jama.jamanetwork.com]

  • Cardiomyopathy

    There are five useful clinical signs to establish the presence and severity of cardiomyopathy: general appearance (cachexia and dyspnea at rest indicate severe impairment)[clevelandclinicmeded.com] […] mitral valve cusp towards the septum LVOT pressure gradient via doppler echocardiography Provocation tests (see below) are obligatory if no obstruction is discernible at rest[amboss.com] Exercise testing Used for risk assessment and evaluation of LVOT Treadmill or bicycle exercise test Clinical observation for development of symptoms (e.g., dyspnea , palpitations[amboss.com]

  • Dilated Cardiomyopathy

    At presentation she had dyspnea at rest, orthopnea and paroxysmal nocturnal dyspnea.[doi.org] Pulsus alternans is an infrequent, complex pathophysiologic sign often associated with severe heart failure.[ncbi.nlm.nih.gov] There are five useful clinical signs to establish the presence and severity of cardiomyopathy: general appearance (cachexia and dyspnea at rest indicate severe impairment)[clevelandclinicmeded.com]

  • Alcoholic Cardiomyopathy

    There are five useful clinical signs to establish the presence and severity of cardiomyopathy: general appearance (cachexia and dyspnea at rest indicate severe impairment)[clevelandclinicmeded.com] Leg elevation promptly reversed the pulsus alternans, and the echocardiographic abnormality.[ncbi.nlm.nih.gov] There may be distended neck veins, enlarged liver, swelling of the arms and legs, and signs of pleural effusion (fluid around the lungs).[aa.activeboard.com]

  • Secondary Cardiomyopathy

    Case presentation A 38-year-old Hispanic male presented with progressive dyspnea at rest since the morning, which became worse with exertion and lying flat.[bmcresnotes.biomedcentral.com] There are five useful clinical signs to establish the presence and severity of cardiomyopathy: general appearance (cachexia and dyspnea at rest indicate severe impairment)[clevelandclinicmeded.com]

  • Ischemic Cardiomyopathy

    There are five useful clinical signs to establish the presence and severity of cardiomyopathy: general appearance (cachexia and dyspnea at rest indicate severe impairment)[clevelandclinicmeded.com] They usually get progressively worse, if not treated Shortness of breath is initially related to physical activity and at later stages, may be present even at rest Difficulty[dovemed.com] […] lying flat on the bed (orthopnea) Gasping spells in the middle of the night (paroxysmal nocturnal dyspnea) Chest pain or pressure may be present along with the above symptoms[dovemed.com]

  • Heart Failure

    These include, among others: Dyspnea ( exertional-, dyspnea at rest, orthopnea, paroxysmal nocturnal dyspnea); Fatigue, inadequate exhaustion after stress, weakness, lethargy[flexikon.doccheck.com] alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] veins that stick out (are distended) Sounds (crackles) from fluid buildup in your lungs, heard through a stethoscope Swelling of the liver or abdomen Uneven or fast heartbeat[medlineplus.gov]

  • Peripartum Cardiomyopathy

    However, in a patient with dyspnea at rest, severe chest pain, ECG evidence of myocardial ischemia, severe impairment of myocardial contractility, invasive monitoring with[frontiersin.org] Physical signs like hyperventilation, edema, distended neck veins can be seen in normal pregnancy.[ijaweb.org] Nonpharmacologic bed rest Na restriction Pharmacologic digoxin diuretics ACE inhibitors (once fetus has been delivered) possible anticoagulation Intrapartum measures avoid[step2.medbullets.com]

  • Chronic Right-Sided Congestive Heart Failure

    The clinical signs and symptoms of heart failure are common: dyspnea on exertion is the most common complaint and can worsen to dyspnea at rest.[epmonthly.com] alternans, (alternating pulses, strong weak), Increased heart rate, PMI displaced inferiorly and posteriorly.[quizlet.com] Distended neck veins. Bluish skin. Chest pain. Enlarged liver and swollen abdomen.[nmihi.com]