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11 Possible Causes for Flattened T Wave, Heart Sounds Exaggerated

  • Digitalis Toxicity

    Electrocardiographic signs of digitalis toxicity include first-degree atrioventricular (A-V) block with depressed S-T segments, shortened Q-T intervals, and flattened T waves[medical-dictionary.thefreedictionary.com]

  • Digoxin

    , inverted, or biphasic T waves .[lifeinthefastlane.com] . - Flattened, negative or biphasic T waves. - QT interval shortening. - U wave amplitude may increase.[metealpaslan.com] […] demonstrating the Digoxin Effect Digoxin effect refers to the presence on the ECG of: Downsloping ST depression with a characteristic “Salvador Dali sagging” appearance Flattened[lifeinthefastlane.com]

  • Digitalis

    Abstract A 19-year-old female was admitted to our department because of a hypertrophic palmaris digitalis II of the left hand displaying color changes. A thrill was easily palpated over the medial part of the finger. A review of her history revealed that this hypertrophy occurred after a blunt trauma to the left[…][ncbi.nlm.nih.gov]

  • Thyrotoxic Heart Disease

    Hypothyroidism and the Heart ECG Changes in Hypothyroidism Sinus bradycardia T wave flattening T wave inversion ST segment depression Low QRS voltages QTc is usually normal[ecgmojo.com]

  • Pericardial Friction Rub

    (1 to 3 weeks) Stage 3 – flattened T waves become inverted (3 to several weeks) Stage 4 – ECG returns to normal (several weeks onwards) NB.[lifeinthefastlane.com] sound Fremitus Heart murmur Heart sound inaudible Heart sound volume variable Heart sounds abnormal Heart sounds different Heart sounds diminished Heart sounds exaggerated[icd9data.com] Stage 2: ST segments return toward baseline with flattening of the T waves. Stage 3: T-wave inversion. Stage 4: Gradual resolution and return to baseline.[consultant360.com]

  • Cardiac Tamponade

    wave flattening or inversion Pericardial fluid drainage : used to sample the effusion in cases of unclear etiology Echocardiography is a quick and safe diagnostic tool for[amboss.com] Acute tamponade leads to increased jugular venous pressure (JVP) - Beck's triad: jugular venous distension, hypotension and diminished heart sounds - rarely seen.[patient.info] Diminished or muffled heart sounds – This auscultatory finding is observable in cardiac tamponade patients due to the displacement of the heart secondary to the fluid accumulation[symptoma.com]

  • Pericardial Neoplasm

    Stage II : ST segments return to baseline; T-wave flattening. Stage III : T-wave inversion. Stage IV : gradual resolution of T-wave inversion.[patient.info] Signs Classic triad of pericardial tamponade: hypotension, muffled heart sounds, jugular venous distention.[patient.info] Atrial fibrillation is a common finding, and diffuse flattened or negative T-waves are usually present.[textbookofcardiology.org]

  • Pericardial Effusion

    wave flattening or inversion Pericardial fluid drainage : used to sample the effusion in cases of unclear etiology Echocardiography is a quick and safe diagnostic tool for[amboss.com] Signs Classic triad of pericardial tamponade: hypotension, muffled heart sounds, jugular venous distention.[patient.info] waves flatten.[merckmanuals.com]

  • Constrictive Pericarditis

    However, a calcified pericardium is not necessarily a constricted one ECG reveals low-voltage QRS complexes with generalized T wave flattening or inversion.[news4medico.com] Patients may also have Kussmaul’s sign (paradoxical rise in JVP with inspiration), pericardial knock (extra heart sound occurring slightly earlier than an S3), and pulsus[clinicaladvisor.com] Wave PR Segment 1 Hours Diffuse elevation Upright Leads aV R, V 1 : elevation All others: depression 2 Days Resolution Flattening Resolution 3 Days-weeks — Inversion — 4 Days-weeks[clevelandclinicmeded.com]

  • Distended Neck Veins

    Chronic constrictive pericarditis presents with low voltage of the QRS complex and diffuse flattening or inversion of the T waves.[aafp.org] Acute tamponade leads to increased jugular venous pressure (JVP) - Beck's triad: jugular venous distension, hypotension and diminished heart sounds - rarely seen.[patient.info] Pulsus paradoxus: exaggeration of the normal decrease in systemic blood pressure during inspiration; a pulsus paradoxus greater than 10 mm Hg helps distinguish patients with[patient.info]

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