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26 Possible Causes for Dyspnea at Rest, Malaise, 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] 53,785 9,322 17.3 247 Lymphadenitis 13,632 1,242 9.1 248 Gangrene 33,786 10,693 31.6 250 Nausea and vomiting 51,833 11,854 22.9 251 Abdominal pain 166,071 26,993 16.3 252 Malaise[web.archive.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] 53,785 9,322 17.3 247 Lymphadenitis 13,632 1,242 9.1 248 Gangrene 33,786 10,693 31.6 250 Nausea and vomiting 51,833 11,854 22.9 251 Abdominal pain 166,071 26,993 16.3 252 Malaise[hcup-us.ahrq.gov]

  • Acute Myocardial Infarction

    After 48h following the accident, the patient's condition rapidly deteriorated, with severe dyspnea at rest, tachycardia, and increasing chest pain.[ncbi.nlm.nih.gov] CASE OUTLINE: In April of 2012 a 37-year-old male presented with bilateral deep leg vein thrombosis and malaise.[ncbi.nlm.nih.gov] Patients with typical acute MI usually present with chest pain and may have prodromal symptoms of fatigue, chest discomfort, or malaise in the days preceding the event; alternatively[emedicine.medscape.com]

  • 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]

  • Myocardial Infarction

    General epigastric (upper middle abdomen) discomfort Sweating Heartburn and/or indigestion Arm pain (more commonly the left arm, but may be either arm) Upper back pain General malaise[medicinenet.com] Patients with typical acute MI usually present with chest pain and may have prodromal symptoms of fatigue, chest discomfort, or malaise in the days preceding the event; alternatively[emedicine.medscape.com] […] typical MI may have the following symptoms in the days or even weeks preceding the event (although typical STEMI may occur suddenly, without warning): Fatigue Chest discomfort Malaise[emedicine.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] A 43-year-old previously healthy Taiwanese male came to our emergency department due to high fever, chills, general malaise and myalgia for about 4 days.[ncbi.nlm.nih.gov] The clinical presentation starts with a flu-like symptomatology (fatigue, malaise, and constitutional symptoms), followed by dyspnea, palpitations, arrhythmias, and chest[symptoma.com]

  • Rheumatic Heart Disease

    (i) Symptoms of congestion or of limited cardiac output include easy fatigue, weakness, shortness of breath (dyspnea), cough, or chest discomfort at rest or with activity.[ssa.gov] Critical Essential Core Tested Community Questions (3) (M2.CV.36) A 15-year-old girl presents with four days of malaise, painful joints, nodular swelling over her elbows,[medbullets.com] Symptoms Symptoms of ARF include: fever malaise (feeling of being unwell) painful and/or swollen joints (one or many joints) – usually affecting the elbows, wrists, hips,[sahealth.sa.gov.au]

  • Acute Pericarditis

    […] voltage with electrical alternans and an enlarged cardiac silhouette on chest X-ray.[en.my-ekg.com] The pain is relieved by leaning forward and is made worse by lying supine. [1,2] Fever, malaise, and myalgia On going inflammation with release of cytokines responsible for[explainmedicine.com] Common associated signs and symptoms include low-grade intermittent fever, dyspnoea, cough, malaise, myalgia and occasionally hiccoughs.[escardio.org]

  • 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] Malaise, low grade fever and myalgias during last three days. No chest pain.[app.figure1.com] Introduction In late December 2015, a 69-year-old woman presented with general malaise and palpitation lasting a few days.[circheartfailure.ahajournals.org]

  • Fungal Myocarditis

    A history of shortness of breath at rest, orthopnea, ankle edema, or paroxysmal nocturnal dyspnea is suggestive of congestive heart failure. 3.2 Chest pain Chest pain is usually[intechopen.com] Once heart dysfunction sets in, signs of cardiac failure may manifest, such as pulmonary edema (fluid accumulation in the lungs), peripheral oedema, hypoxemia, pulsus alternans[medindia.net] Arrhythmias (18%), dyspnea (72%), and chest pain (35%) Fatigue Myalgias/arthralgias Malaise Fever Chest pain: Reported in 35% Most commonly pleuritic, sharp, stabbing, pre[5minuteconsult.com]