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35 Possible Causes for Hypotension, Pulsus Paradoxus, Superior Vena Cava Syndrome

  • Cardiac Tamponade

    Additionally, there is a case report of tamponade during attempted stent placement in superior vena cava (SVC) syndrome (5).[] Of the 7 hypotensive or normotensive patients diagnosed with cardiac tamponade, 4 underwent successful pericardiocentesis while awaiting surgery.[] Pulsus paradoxus Pulsus paradoxus (or paradoxical pulse) is an exaggeration ( 12 mm Hg or 9%) of the normal inspiratory decrease in systemic blood pressure.[]

  • Hemopericardium

    Local vascular invasion may result in cerebral ischemia, myocardial infarction, and superior vena cava syndrome [ 1 ].[] Massive bleeding through the chest drains with hypotension required emergency reoperation in the intensive care unit.[] paradoxus. [6] Treatment [ edit ] When discovered, hemopericardium is usually treated by pericardiocentesis, a procedure wherein a needle is used to remove the fluid from[]

  • Pulsus Paradoxus

    […] venous return Anaphylaxis (see Anaphylaxis, [[Anaphylaxis]]) Superior Vena Cava (SVC) Syndrome (see Superior Vena Cava Syndrome, [[Superior Vena Cava Syndrome]]) Physiology[] If the patient has hypotension, tachycardia, dyspnea, increased venous pressure, and a pericardial effusion, the diagnosis of tamponade will likely be sustained.[] When the drop is more than 10 mmHg, it is referred to as pulsus paradoxus.[]

  • Distended Neck Veins

    Superior vena cava syndrome (SVCS) occurs when a person’s superior vena cava is partially blocked or compressed. Cancer is usually the main cause of SVCS.[] Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries. N Engl J Med 1994; 331(17):1105-1109. ‏[] paradoxus - Kussmaul's sign - ECHO - IV fluids - pericardiocentesis - open thoracotomy[]

  • Chronic Constrictive Pericarditis

    Severe cases of chronic effusive pericarditis may cause hypotension, or low blood pressure, and swelling in the stomach (ascites) and extremities (edema).[] This situation, termed “pulsus paradoxus,” is the classic hallmark of cardiac tamponade.[] In severe cases, it can lead to swelling in the stomach and legs and hypotension (low blood pressure).[]

  • Superior Vena Cava Syndrome

    Superior vena cava syndrome (SVCS), is a group of symptoms caused by obstruction of the superior vena cava ("SVC"), a short, wide vessel carrying circulating blood into the[] Her symptoms included severe plethora, facial engorgement and scleral edema, which was associated with hypotension and severe elevation of central venous pressure.[] ( Orthostatic hypotension ) - Rheumatic fever See also congenital ( Q20-Q28, 745-747 )[]

  • Pulsus Alternans

    , Esophageal varices, Varicocele, Gastric varices, Caput medusae ) - Superior vena cava syndrome - Lymph ( Lymphadenitis, Lymphedema, Lymphangitis ) Other Hypotension ( Orthostatic[] […] and one tetraplegic complete patient with cardiomegaly, severe aortic atherosclerosis, and postural hypotension.[] He starts running around the bed wanting us to manually check the B/P on inspiration and expiration for the pulsus paradoxus.[]

  • Mediastinopericarditis

    Lesions in the middle mediastinum may compress blood vessels or airways, causing the superior vena cava syndrome or airway obstruction.[] Cardiac tamponade (influenced by volume and rate of accumulation) Beck triad (jugular venous distention, hypotension, and muffled heart sounds) Hypotension and tachycardia[] (Kussmaul, 1873/2006) Pulsus Paradoxus: Modern Definition : The modern definition of pulsus paradoxus is the greater than 10 mm Hg inspiratory decline in systolic arterial[]

  • Constrictive Pericarditis

    , Esophageal varices , Varicocele , Gastric varices , Caput medusae ) - Superior vena cava syndrome - Lymph ( Lymphadenitis , Lymphedema , Lymphangitis ) Other Hypotension[] […] effusive-constrictive pericarditis with tamponade from coxsackievirus B should be considered in patients presenting with chest pain, dyspnea, jugular venous distention, hypotension[] Examination revealed elevated neck veins, pulsus paradoxus, muffled heart sounds, decreased breath sounds and pedal oedema.[]

  • Chylopericardium

    We describe a case where superior vena cava syndrome, chylopericardium and chylothorax occurred in a 16-year-old girl due to an indwelling central venous catheter.[] Appears dyspnea with tachypnea, tachycardia, hypotension and shock occurs rapidly.[] He had pulsus paradoxus with distant heart sounds.[]

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