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263 Possible Causes for Double Apical Impulse, Gallop Rhythm

  • Hypertrophic Cardiomyopathy

    […] carotid arterial pulse Apical precordial impulse that is displaced laterally and usually is abnormally forceful and enlarged Systolic ejection crescendo-decrescendo murmur[emedicine.com] Additionally, a gallop rhythm may be ausculted. This may be enough to lead to a diagnosis.[mspca.org] apical impulse or triple apical impulse (less common) Normal first heart sound; second heart sound usually is normally split but is paradoxically split in some patients with[emedicine.com]

  • Cardiomyopathy

    […] carotid arterial pulse Apical precordial impulse that is displaced laterally and usually is abnormally forceful and enlarged Systolic ejection crescendo-decrescendo murmur[emedicine.medscape.com] rhythm, persistent jugular venous distention, systemic hypotension, peripheral vascular disease Laboratory findings Hyponatremia, persistently elevated B-type natriuretic[clevelandclinicmeded.com] apical impulse or triple apical impulse (less common) Normal first heart sound; second heart sound usually is normally split but is paradoxically split in some patients with[emedicine.medscape.com]

  • Ventricular Aneurysm

    Cardiovascular Common findings in patients with LV aneurysm include: [1] Palpation Diffuse, sustained apical systolic thrust and a double impulse.[wikidoc.org] Displaced apical impulse to the left of the mid clavicular line . Auscultation Presence of a Third heart sound (S3), and often a fourth sound (S4).[wikidoc.org]

  • S3 Gallop

    impulse (lasts longer than systole) Prominent “a” wave (abnormal jugular venous pulse caused by the right atrium contracting against resistance) Bisferiens carotid pulse[physicianassistantexamreview.com] It is a type of gallop rhythm by virtue of having an extra sound; the other gallop rhythm is called S 4 .[popflock.com] Depending on the etiology the gallop rhythm may resolve spontaneously. See also [ edit ] Alexander George Gibson Arthur D.[en.wikipedia.org]

  • High Output Heart Failure

    On the third day of life, she developed cardiac failure with gallop rhythm, hepatomegaly and a murmur in the anterior fontanel; an echocardiogram confirmed clinic aggravation[ncbi.nlm.nih.gov] Gallop rhythm or third heart sound Oxygen saturations Respiratory rate Indicators of peripheral perfusion Consciousness level Peripheral skin temperature Central temperature[clinicaladvisor.com] […] undertaken, with particular emphasis being paid to the following points: Hemodynamic parameters and vital signs Blood pressure – adequate perfusion pressure Heart rate and rhythm[clinicaladvisor.com]

    Missing: Double Apical Impulse
  • Toxic Myocarditis

    All patients presented with tachypnoea, tachycardia, sweating, gallop rhythm, pulmonary wheezing, rales and hepatomegaly.[bestbets.org] Heart sounds - soft S1 or S4 gallop rhythm. Signs of heart failure. Aetiology Infection Viral infection is the most common cause of acute myocarditis [ 2 ].[patient.info] rhythm, persistent jugular venous distention, systemic hypotension, peripheral vascular disease Laboratory findings Hyponatremia, persistently elevated B-type natriuretic[clevelandclinicmeded.com]

    Missing: Double Apical Impulse
  • Giant Cell Myocarditis

    Physical examination revealed cyanosis, difficulty in breathing, gallop rhythm, and shock.[jamanetwork.com]

    Missing: Double Apical Impulse
  • Peripartum Cardiomyopathy

    Bilateral coarse crepitations and a gallop rhythm were heard on auscultation of her chest.[emj.bmj.com] A gallop rhythm with a holosystolic murmur (intensity 4/6, loudest heard at the apex) was noticed.[signavitae.com] After initial improvement for the next 10 hrs she again desaturated and developed sinus tachycardia of 140 beats per minute and gallop rhythm.[ijaweb.org]

    Missing: Double Apical Impulse
  • Bacterial Myocarditis

    Cardiac findings include, gallop rhythm, and an apical systolic murmur of mitral insufficiency. In patients with associated pericardial disease, a rub may be noted.[slideshare.net] .  Tachycardia, hypotension, gallop rhythm, and cardiac murmur.  Associated findings may include a rash or evidence of end organ involvement such as hepatitis or aseptic[slideshare.net]

    Missing: Double Apical Impulse
  • Fungal Myocarditis

    Heart sounds - soft S1 or S4 gallop rhythm. Signs of heart failure. Aetiology Infection Viral infection is the most common cause of acute myocarditis [ 2 ].[patient.info]

    Missing: Double Apical Impulse

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