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14 Possible Causes for Gallop Rhythm, Increased Area of Cardiac Dullness, Pleural Effusion on Chest X-Ray

  • Congestive Heart Failure

    The daily dosage was adjusted on the basis of the patient's clinical response and her follow-up chest x-ray studies.[ncbi.nlm.nih.gov] The major criteria include: Paroxysmal nocturnal dyspnea Distention of neck veins Crepitations Cardiomegaly Acute pulmonary edema S3 gallop rhythm Increased venous pressure[symptoma.com] There may be a gallop rhythm due to presence of S3 (see also the separate Heart Auscultation article) or murmurs of mitral or aortic valve disease.[patient.info]

  • Cardiomyopathy

    In patients with congestive heart failure, chest x-ray will show signs of congestion, an enlarged cardiac silhouette and possibly pleural effusions ( Figure 3 ).[clinicaladvisor.com] rhythm, persistent jugular venous distention, systemic hypotension, peripheral vascular disease Laboratory findings Hyponatremia, persistently elevated B-type natriuretic[clevelandclinicmeded.com] Features Clinical findings Increased age, male gender, ischemic heart disease, diabetes, syncope, right heart failure symptoms, symptomatic ventricular arrhythmias, persistent gallop[clevelandclinicmeded.com]

  • Dilated Cardiomyopathy

    Generalized enlargement of the heart is seen upon normal chest X-ray. Pleural effusion may also be noticed, which is due to pulmonary venous hypertension.[en.wikipedia.org] He was tachycardic, with an S3/S4 gallop rhythm. There were moist rales in the lung fields and chest wall retraction. The abdominal exam revealed hepatomegaly.[revportcardiol.org] Chest x-ray shows cardiomegaly, usually of all chambers.[merckmanuals.com]

  • Alcoholic Cardiomyopathy

    Blood tests will show signs of liver injury and confirm alcohol abuse, while chest X-ray shows pulmonary congestion, cardiomegaly and pleural effusions.[radcliffecardiology.com] rhythm, persistent jugular venous distention, systemic hypotension, peripheral vascular disease Laboratory findings Hyponatremia, persistently elevated B-type natriuretic[clevelandclinicmeded.com] Features Clinical findings Increased age, male gender, ischemic heart disease, diabetes, syncope, right heart failure symptoms, symptomatic ventricular arrhythmias, persistent gallop[clevelandclinicmeded.com]

  • Endocardial Fibroelastosis

    On the chest X-ray, bilateral pleural effusion was observed ( Fig. 1 ).[synapse.koreamed.org] rhythm, persistent jugular venous distention, systemic hypotension, peripheral vascular disease Laboratory findings Hyponatremia, persistently elevated B-type natriuretic[clevelandclinicmeded.com] Features Clinical findings Increased age, male gender, ischemic heart disease, diabetes, syncope, right heart failure symptoms, symptomatic ventricular arrhythmias, persistent gallop[clevelandclinicmeded.com]

  • Pericardial Effusion

    Radiologic examinations were carried out, and the computed tomography scan revealed a hepatomegaly and a chest X-ray showed evidence of a unilateral pleural effusion.[ncbi.nlm.nih.gov] Considerable amounts of pericardial fluid may muffle heart sounds, increase the area of cardiac dullness, and change the size and shape of the cardiac silhouette.[merckmanuals.com] At auscultation, heart sounds were reduced and gallop rhythm was present; no murmurs or pericardial rub were audible.[wjso.biomedcentral.com]

  • Peripartum Cardiomyopathy

    Chest X-ray showed pulmonary interstitial edema, an increase in the cardiac silhouette and bilateral pleural effusion.[signavitae.com] Bilateral coarse crepitations and a gallop rhythm were heard on auscultation of her chest.[emj.bmj.com] Chest X-ray can show cardiomegaly, pulmonary congestion, and pleural effusion.[kjim.org]

  • Toxic Myocarditis

    : low voltage (low R-wave with poor progression) Imaging Chest x-ray and CT : cardiac enlargement, pulmonary congestion, pleural effusions Echocardiography Findings often[amboss.com] Kussmaul's sign A paradoxical increase in venous distention and pressure during inspiration. Finding associated with cardiac tamponade.[atsu.edu] All patients presented with tachypnoea, tachycardia, sweating, gallop rhythm, pulmonary wheezing, rales and hepatomegaly.[bestbets.org]

  • Post-Infarction Pericarditis

    […] measured at 18 mm, 20 mm, 14 mm surrounding the heart Fig. 4 Chest X ray anterior-posterior view (bedside) showing cardiomegaly with evidence of pulmonary oedema and bilateral[bmccardiovascdisord.biomedcentral.com] Considerable amounts of pericardial fluid may muffle heart sounds, increase the area of cardiac dullness, and change the size and shape of the cardiac silhouette.[merckmanuals.com] pleural effusions Percutaneous pericardiocentesis was attempted immediately, but as it failed to yield fluid, emergency pericardiotomy was done under general anaesthesia:[bmccardiovascdisord.biomedcentral.com]

  • Suppurative Pericarditis

    Initial chest X-ray showed cardiomegaly, bibasilar and retrocardiac parenchymal opacities, without signs of pulmonary congestion or pleural effusion (Figure 1).[revistas.unal.edu.co] Patients with large pericardial effusions have an area of increased dullness at the base of the heart in addition to generalized enlargement of the area of cardiac dullness[tele.med.ru] Auscultation of the heart for heart murmurs, friction rubs, gallops, and irregular rhythms together with the signs and symptoms mentioned above help make the diagnosis of[atsu.edu]