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35 Possible Causes for Ejection Fraction Decreased, Narrow Pulse Pressure

  • Acute Myocardial Infarction

    Bedside echocardiography disclosed akinesis of the anterior and lateral walls, apex, and anterior septum with severely decreased left ventricular ejection fraction of 30%.[ncbi.nlm.nih.gov]

  • Myocardial Infarction

    After start of the GFD, abnormal left ventricular dimensions, and diminished cardiac function, including decreased ejection fraction, can improve markedly and may even be[dx.doi.org] Preservation of myocardial contractile function is paramount, and left venticular ejection fraction should be monitored with short-term and long-term echocardiographic evaluation[clinicaladvisor.com] Change in ejection fraction between baseline and follow-up in groups 1 to 3.[dx.doi.org]

  • Hypertrophic Cardiomyopathy

    ejection fraction to presence of left ventricular apical aneurysms Cardiac MRI has a role in asymptomatic HCM mutation carriers by identifying phenotypic markers of HCM in[radiopaedia.org] […] the LV volume and increases the ejection fraction, without significantly changing stroke volume.[emedicine.com] […] prognostic indicators in high-risk patients include: left ventricular wall thickness 30 mm gradient across LVOT 30 mmHg delayed wall enhancement which represents fibrosis decreased[radiopaedia.org]

  • Restrictive Cardiomyopathy

    Haemodynamic features delineated in the 1940s and '50s included the narrow pulse pressure in the right ventricle with normal systolic pressure and greatly increased diastolic[heart.bmj.com] And when the heart isn't able to fill properly, even if it contracts, and has a normal ejection fraction, you're still going to have a decreased volume of blood exiting the[khanacademy.org] Ejection fraction may be preserved, diastolic volumes are normal or decreased, ventricular thickness is normal or increased and atrial dilatation is almost always present.[scielo.br]

  • Congestive Heart Failure

    Signs There may be a tachycardia at rest, low systolic blood pressure (BP), a displaced apex (LV dilatation) or RV heave (pulmonary hypertension), a narrow pulse pressure[patient.info] fraction of 10 percent (decreased from 25 percent on last ECHO 18 months prior).[ncbi.nlm.nih.gov] Chest X-ray revealed cardiomegaly, and echocardiogram showed dilated left ventricular (LV) cavity and diffuse hypokinesis with extremely decreased ejection fraction (EF).[ncbi.nlm.nih.gov]

  • Heart Failure

    Signs There may be a tachycardia at rest, low systolic blood pressure (BP), a displaced apex (LV dilatation) or RV heave (pulmonary hypertension), a narrow pulse pressure[patient.info] RESULTS The concentrations of galectin-3 and NT-proBNP were substantially higher following decreased ejection fraction (both P 0.000), except for sST2 (P 0.068 vs. control[ncbi.nlm.nih.gov] After the switch to sacubitril/valsartan, a 10% increase in left ventricular ejection fraction was observed (from 30 to 40%) over a 12-month period.[ncbi.nlm.nih.gov]

  • Aortic Valve Stenosis

    Signs Examination of the pulse in significant AS reveals a slow-rising, flat character called pulsus parvus et tardus. [ 7 ] Blood pressure will show a narrow pulse pressure[patient.info] The Gorlin equation is also flow-dependent; thus, if the patient has a significantly decreased ejection fraction, the AVA may be underestimated.[healio.com] Clinical examination classically reveals a narrow pulse pressure, a slow-rising peripheral pulse, pulsus parvus et tardus (weak and delayed pulse) in the carotid pulse, a[radiopaedia.org]

  • Constrictive Pericarditis

    Haemodynamic features delineated in the 1940s and '50s included the narrow pulse pressure in the right ventricle with normal systolic pressure and greatly increased diastolic[heart.bmj.com] The LV ejection fraction may decrease postoperatively, only to return to normal months later. In the interim, digoxin, diuretics, and vasodilators may be useful.[circ.ahajournals.org]

  • Cardiogenic Shock

    Narrow pulse pressure. D. Oliguria. 5. Answer: C. Narrow pulse pressure.[nurseslabs.com] The TTE suggested that the left ventricular end-diastolic volume had decreased from 66 to 45 mm and the left ventricular ejection fraction had risen from 20% to 50%.[ncbi.nlm.nih.gov] “They don’t improve survival, they don’t improve ejection fractions and they don’t decrease infarct size, so I think using a balloon pump is an exercise in futility,” O’Neill[dicardiology.com]

  • Rheumatic Aortic Valve Obstruction

    Clinical examination classically reveals a narrow pulse pressure, a slow-rising peripheral pulse, pulsus parvus et tardus (weak and delayed pulse) in the carotid pulse, a[radiopaedia.org] With time, the ventricle can no longer compensate, causing secondary LV cavity enlargement, reduced ejection fraction (EF), decreased cardiac output, and a misleadingly low[merckmanuals.com] The Gorlin equation is also flow-dependent; thus, if the patient has a significantly decreased ejection fraction, the AVA may be underestimated.[healio.com]

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