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127 Possible Causes for Dyspnea, Hypotension, Increased Jugular Venous Pressure

  • Congestive Heart Failure

    Right heart failure is characterized by low output syndrome with increased jugular venous pressure, increased liver size and hypotension.[] After cardioversion, refractory hypotension and cardiopulmonary arrest occurred. An arterial blood gas analysis showed marked lactic acidosis.[] Features due to left heart failure: Dyspnea, orthopnea and paroxysmal nocturnal dyspnea: These symptoms develop due to congestion of the lungs.[]

  • Pulmonary Embolism

    Ultimately, insufficient cardiac output from the RV causes left ventricular under-filling which results in systemic hypotension and cardiovascular collapse.[] The patient suffered dyspnea after undergoing the injection laryngoplasty.[] During admission, the patient developed sudden, severe hypotension that was refractory to treatment.[]

  • Acute Myocardial Infarction

    On the second hospital day, hypotension and a new cardiac murmur was found. The emergency echocardiographic study disclosed a ventricular septal defect.[] A 71-year-old man presented to our hospital for dyspnea lasting for the past 3 days.[] Their results were mixed: IV magnesium reduced the incidence of serious arrhythmias, but this treatment also increased the incidence of profound hypotension, bradycardia and[]

  • Pericardial Effusion

    In fact, drainage of fluid lowered the blood pressure in these patients. 3. Increased jugular venous pressure- which decreases during inspiration. 4.[] However, she began to experience dyspnea on exertion leading to admission.[] […] physicians must maintain vigilance in suspecting pericardial effusion and tamponade in patients with known or suspected malignancy who present with tachycardia, dyspnea, and hypotension[]

  • Cardiac Tamponade

    Jugular enlargement – This vein engorges with the increasing jugular venous pressure.[] Of the 7 hypotensive or normotensive patients diagnosed with cardiac tamponade, 4 underwent successful pericardiocentesis while awaiting surgery.[] Thus, edema and dyspnea are more prominent features of cardiac tamponade when there is a slow rise in pericardial pressure.[]

  • Amniotic Fluid Embolism

    This case report warrants that AFE should be considered when coagulopathy and dyspnea are observed during the postpartum period.[] […] salvage and transfusion through a leukocyte depletion filter was attempted after the diagnosis of AFE was made, but the attempted transfusion was immediately followed by hypotension[] The patient developed hypotension, respiratory arrest and disseminated intravascular coagulopathy following the procedure but with aggressive management she made a full recovery[]

  • Acute Massive Pulmonary Embolism

    Ten patients died because of hypoxemia and hypotension prior to initiation of cardiopulmonary bypass, and seven died of myocardial depression of multiple etiologies.[] All patients had acute onset of PE symptoms and all presented with hemodynamic compromise and dyspnea.[] Six hours postoperatively, she required emergent intubation when she suddenly became cyanotic, severely hypotensive, and tachypneic, with an oxygen saturation of 50%.[]

  • Pulmonary Edema

    […] describe a case of fatal contralateral RPE in a 59-years-old woman with right lung cancer underwent ultrasound-guided thoracentesis for massive pleural effusion and severe dyspnea[] However, its use continues to be controversial due to concerns of drug induced hypotension, syncope or paresthesia.[] 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[]

  • High Output Heart Failure

    Physical findings are increased jugular venous pressure, tachycardia usually with a third heart sound, bilateral bibasilar crackles and a wide pulse pressure.[] The patient was discharged, then readmitted for high output cardiac failure with hypotension and hyperlactacidemia.[] After the procedure, dyspnea was improved and procedure related complication was not seen.[]

  • Cor Pulmonale

    […] and other neck and facial veins Increased jugular venous pressure Hepatomegaly Cyanosis Abnormal heart sounds Physical indicators of cor pulmonale on exam: Pulmonary hypertension[] The patient experienced immediate relief of her cor pulmonale and successful recovery from hypotension.[] We report the case of a 40-year-old woman who died after 3 days of progressive dyspnea, cough, and pulmonary hypertension.[]

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