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30 Possible Causes for Gallop Rhythm, Narrow Pulse Pressure

  • Anemia

    Class III (30-40% blood loss) always leads to a measurable decrease in blood pressure as well as significant tachycardia and a narrow pulse pressure.[emedicine.com] Class I ( Class II (15-30% blood loss) – Tachycardia, tachypnea, and a decreased pulse pressure are seen.[emedicine.com]

  • 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] 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]

  • Myocardial Infarction

    Significant physical findings, often absent, include an atrial gallop rhythm (4th heart sound) and a pericardial friction rub.[medical-dictionary.thefreedictionary.com]

  • Hypertrophic Cardiomyopathy

    Additionally, a gallop rhythm may be ausculted. This may be enough to lead to a diagnosis.[mspca.org]

  • Acute Myocardial Infarction

    Ventricular septal rupture (VSR) is a rare but fatal complication of acute myocardial infarction (AMI) with an associated mortality that ranges from 41% to 80%. The treatment consists of supplemental oxygenation, afterload reduction, intraaortic balloon pump, and surgical repair. In selected patients, extracorporeal[…][ncbi.nlm.nih.gov]

  • 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] rhythm, edema, ascites or hepatomegaly).[symptoma.com] rhythm, persistent jugular venous distention, systemic hypotension, peripheral vascular disease Laboratory findings Hyponatremia, persistently elevated B-type natriuretic[clevelandclinicmeded.com]

  • Chronic Constrictive Pericarditis

    Chronic constrictive pericarditis (CCP) is a disease that has multiple possible causes and is associated with variable clinical findings, depending on its severity. It develops insidiously, and in many cases, particularly in developed countries, no antecedent diagnosis can be found. These cases are termed idiopathic.[…][ncbi.nlm.nih.gov]

  • Hypertension

    […] and a narrow pulse pressure (by definition, isolated diastolic hypertension) had auscultatory BP measurements that overestimated the true, intra-arterial DBP. 11 In support[doi.org] Daily examination should include a funduscopic examination for retinal spasm or edema, lung examination for signs of volume overload, cardiac examination for gallop rhythms[emedicine.medscape.com] Hypertension in Young Adults The concept of artifactual or benign isolated diastolic hypertension arose from previous observations that individuals presenting with raised diastolic pressure[doi.org]

  • Coronary Artery Disease

    […] high blood pressure.[medicinenet.com] (feel) for the pulses in the wrists and feet to see if they are present, and if they are normal in their amplitude and force.[medicinenet.com] There are some clues on physical exam that suggest the presence of narrowed arteries to the heart and coronary artery disease, for example, they the doctor may: Check for[medicinenet.com]

  • 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] As AS severity increases, the findings of systolic heart failure may become more prominent, including an S3 or S4 gallop, the irregular rhythm of atrial fibrillation, an enlarged[doi.org] 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]

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