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31 Possible Causes for Distended Neck Veins, Narrow Pulse Pressure, Pulsus Paradoxus

  • Congestive Heart Failure

    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] Signs There may be a tachycardia at rest, low systolic blood pressure (BP), a displaced apex (LV dilatation) or RV heave (pulmonary hypertension), a narrow pulse pressure[patient.info] […] couple of hours due to shortness of breath Weight gain Your health care provider will examine you for signs of heart failure: Fast or difficult breathing Leg swelling (edema) Neck[nlm.nih.gov]

  • Cardiac Tamponade

    neck veins, worse with inspiration ( Kussmaul sign ) Diminished heart sounds ( Beck’s Triad : a combination of distended neck veins, hypotension, and diminished heart sounds[cardiachealth.org] pulse pressure and pulsus paradoxus may also be observed. 2 The diagnosis can be rapidly confirmed by bedside ultrasound. 3 In traumatic cardiac tamponade, the treatment[westjem.com] Pulsus paradoxus Pulsus paradoxus (or paradoxical pulse) is an exaggeration ( 12 mm Hg or 9%) of the normal inspiratory decrease in systemic blood pressure.[emedicine.medscape.com]

  • Restrictive Cardiomyopathy

    Haemodynamic features delineated in the 1940s and '50s included the narrow pulse pressure in the right ventricle with normal systolic pressure and greatly increased diastolic[heart.bmj.com] Pulsus paradoxus does not occur.[merckmanuals.com] ) or bulging neck veins Enlarged liver Lung crackles and abnormal or distant heart sounds when listening to the chest with a stethoscope Signs of heart failure Fluid backup[quizlet.com]

  • Chronic Constrictive Pericarditis

    This situation, termed “pulsus paradoxus,” is the classic hallmark of cardiac tamponade.[aafp.org] The veins of the neck were moderately distended in the erect position; in the supine position they were markedly so.[kundoc.com] paradoxus in the absence of an effusion annulus paraxodus elevated filling pressures with a preserved mitral septal annular velocity ( septal e' ) annulus reversus tissue[radiopaedia.org]

  • Pericardial Effusion

    pulse pressure and mild hypotension 7.[slideshare.net] 3.3; 95% CI, 1.8-6.3), while a pulsus paradoxus of 10 mm Hg or less greatly lowers the likelihood (likelihood ratio, 0.03; 95% CI, 0.01-0.24).[jamanetwork.com] […] symptoms of right heart failure Cardiogenic shock , asystole Beck's triad for cardiac tamponade : hypotension , muffled heart sounds , distended neck veins ![amboss.com]

  • Hypovolemia

    If the difference is less than 25 percent of the systolic blood pressure, the pulse pressure is considered to be narrow.[ems1.com] These include cardiac tamponade (muffled heart tones, distended neck veins), tension pneumothorax (deviated trachea, unilaterally decreased breath sounds), and spinal cord[emedicine.medscape.com] A narrow pulse pressure in a hypovolemic shock patient indicates a decreasing cardiac output and an increasing peripheral vascular resistance.[ems1.com]

  • Hemopericardium

    While on bypass, progressive hemopericardium led to narrow pulse pressure and decreased venous return that limited bypass flow.[ncbi.nlm.nih.gov] paradoxus. [6] Treatment [ edit ] When discovered, hemopericardium is usually treated by pericardiocentesis, a procedure wherein a needle is used to remove the fluid from[en.wikipedia.org] At admission, the heart rate was 112 bpm, and the patient had elevated jugular venous pressure, pulsus paradoxus, and distant heart sounds on auscultation.[academic.oup.com]

  • Distended Neck Veins

    What Causes Distended Neck Veins?[reference.com] In cardiac tamponade a narrow pulse pressure is regularly observed.[emergencymedicalparamedic.com] paradoxus - Kussmaul's sign - ECHO - IV fluids - pericardiocentesis - open thoracotomy[fprmed.com]

  • Hypovolemic Shock

    If the difference is less than 25 percent of the systolic blood pressure, the pulse pressure is considered to be narrow.[ems1.com] neck veins) 2,7 Tension pneumothorax (displaced trachea, decreased breathing sounds on one side) 2,7 Hemorrhagic pneumothorax Pulmonary embolism 27 Arteriovenous malformations[ehealthstar.com] An increase in CVP will clinically be seen as distended neck veins and an enlarged liver.[hawaii.edu]

  • Pericarditis

    Cardiac tamponade is associated with significant pericardial effusion and may show the following on examination: narrow pulse pressure, pulsus paradoxus (i.e. 10mmHg exaggeration[cancertherapyadvisor.com] paradoxus.[ncbi.nlm.nih.gov] During inspiration, the neck veins become distended (normally, they collapse).[aafp.org]