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32 Possible Causes for Dyspnea at Rest, 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] Dyspnea at rest Dyspnea at rest in heart failure is the result of the following mechanisms: Decreased pulmonary function secondary to decreased compliance and increased airway[emedicine.medscape.com]

  • 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 person will have dyspnea (shortness of breath) on exertion and in severe cases, dyspnea at rest. Increasing breathlessness on lying flat, called orthopnea, occurs.[en.wikipedia.org]

  • 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] 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]

  • 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]

  • Myocardial Infarction

    In cross-sectional studies in the general population, 15 to 40% of patients with ECG evidence of past myocardial infarction (MI) do not give a history of typical cardiac symptoms [ 1, 2, 3 ]. Mortality rates in patients with such “silent” MIs have been reported as higher than, similar to, or lower than those in[…][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] […] 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]

  • Cardiac Tamponade

    We report a case of eosinophilic granulomatosis with polyangiitis in a 50-year-old Caucasian woman who presented with chest pain, dyspnea at rest, fever, and periorbital swelling[ncbi.nlm.nih.gov] Pulsus paradoxus was 20 mmHg. The electrocardiogram showed low-voltage QRS complex with electrical alternans.[ncbi.nlm.nih.gov] Typical symptoms of cardiac tamponade are jugular venous distension, pulsus paradoxus, hypotension, and rest dyspnea.[ncbi.nlm.nih.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] 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] […] lying flat on the bed (orthopnea) Gasping spells in the middle of the night (paroxysmal nocturnal dyspnea) Chest pain or pressure may be present along with the above symptoms[dovemed.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]

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