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31 Possible Causes for Dyspnea at Rest, Premature Ventricular Contraction, Pulsus Alternans

  • 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] Subsequent analysis revealed that the monitoring function had detected the arrhythmia as frequent premature ventricular contraction, although the arrhythmia did not trigger[ncbi.nlm.nih.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] The prophylactic administration of lidocaine to suppress premature ventricular contractions or prevent ventricular tachycardia/fibrillation is not recommended.[healio.com]

  • Myocardial Infarction

    Although VT/VF is associated with higher 90-day mortality risk, premature ventricular contractions not associated with hemodynamic compromise and accelerated ventricular rhythms[doi.org]

  • 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] ., and Gustav Eles, D.O. 1 Citing Article A 68-year-old woman presented with symptoms of palpitations and was found to have frequent premature ventricular contractions and[nejm.org] […] 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]

  • 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]

  • 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] […] assist device (VAD)心室補助人工心臓、心室補助装置 ventricular fibrillation (VF, Vf)心室細動 ventricular premature contraction (beat)(VPC)心室期外収縮 ventricular septal defect (VSD) 心室中隔欠損[症] ventricular[tokyo-med.ac.jp] Children with CHF may also experience shortness of breath on lying flat (orthopnea) or episodes of shortness of breath that wake them from sleep (paroxysmal nocturnal dyspnea[ssa.gov]

  • 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] Three or more consecutive premature ventricular contractions (ventricular tachycardia), or increasing frequency of ventricular ectopy with at least 6 premature ventricular[ssa.gov]

  • 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] Premature ventricular contractions (PVCs) can cause clinical deterioration in patients with heart failure and increase the frequency of shocks delivered by an implantable[ncbi.nlm.nih.gov] 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]

  • Pulsus Alternans

    He complained of dyspnea at rest and peripheral edema, which was aggravated over the last week.[elsevier.es] Pulsus alternans Other names Cardiac alternans, mechanical alternans Pulse pressure waveform displaying the variation in pressure between beats in pulsus alternans.[en.wikipedia.org] contraction Severe aortic regurgitation Causes by Organ System Cardiovascular Cardiac tamponade , Meadows syndrome , premature ventricular contraction , severe aortic regurgitation[wikidoc.org]

  • 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] O’Grady is greater than 50 PVCs (premature ventricular contractions) per hour, however this study is on-going.[dpca.org]