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22 Possible Causes for Dyspnea at Rest, Impaired Exercise Tolerance, Pulsus Alternans

  • 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] Numerous mechanisms unrelated to hemodynamic dysfunction may underlie impaired exercise tolerance in patients with chronic heart failure.[doi.org]

  • 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] The impairment of exercise tolerance indicated by NYHA classification was markedly improved by PD for both groups.[ncbi.nlm.nih.gov]

  • 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]

  • 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] The cardinal manifestations of HF are dyspnea and fatigue, which may limit exercise tolerance, and fluid retention, which may lead to pulmonary congestion and peripheral edema[circ.ahajournals.org] 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]

  • 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]

  • Acute Myocarditis

    Case 1: A 48-years-old, previously healthy male patient admitted to our clinic with complaints of acute onset of rest dyspnea and orthopnea, started the day before.[ncbi.nlm.nih.gov]

  • 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] Application of a small dose of glyceryl trinitrate paste (0.25 in) resulted in severe left ventricular dysfunction with the appearance of pulsus alternans in a patient with[ncbi.nlm.nih.gov]

  • Toxic Myocarditis

    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]

  • Lymphocytic Myocarditis

    […] on exertion or at rest, or edema that could be dated specifically to a one-to-two-day period), and a history consistent with the presence of a viral illness within the two[nejm.org] […] features had to be present for histopathologically borderline or active myocarditis to be classified as fulminant: fever, distinct onset of symptoms of heart failure (fatigue, dyspnea[nejm.org]