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893 Possible Causes for Hypotension, Sinus Tachycardia

  • Tricyclic Antidepressant Overdose

    The overall frequency of admission hypotension (systolic BP less than 95 mmHg) was 34% (22 of 64 patients).[] Admission ECG's were abnormal in a high number of cases, most common abnormalities being sinus tachycardia (43%) and intraventricular conduction defects (24%).[] Patients with the isolated findings of sinus tachycardia or QTc prolongation had no complications.[]

  • Acute Pancreatitis

    Systemic inflammation may lead to hypotensive shock which may lead to mortality.[] , tachycardia distributive shock Pancreatic necrosis : Uncorrected hypotension and third space loss decreased organ perfusion multiorgan dysfunction (mainly renal) and pancreatic[] […] prior similar episodes Signs Vital sign abnormalities dependent on stage of disease Early on may be normal or with slight tachycardia in response to pain Later in disease, hypotension[]

  • Carbon Monoxide Poisoning

    Initial signs included respiratory failure, cardiac ischaemia, hypotension, encephalopathy and a rash, whilst subsequent features included rhabdomyolysis, renal failure, amnesia[] The patient's electrocardiogram showed sinus tachycardia with T-wave inversions in leads I, aVL and V3-V6. The troponin I level peaked at 3.7 ng/ml.[] At the emergency department, hypotension and hyperthermia were severe in patient 1, moderate in patient 2, and absent in patient 3, although all the patients were comatose[]

  • Heat Stroke

    In addition, pulmonary edema, coma, hypotension, and hyperpyrexia occurred.[] Rhythm disturbances, including sinus tachycardia, atrial fibrillation and supraventricular tachycardia, have been reported.[] There were only 2 serious cardiac events (1 myocardial infarction and 1 hypotensive supraventricular tachyarrhythmia), neither of which were fatal or life threatening.[]

  • Kounis Syndrome
  • Organophosphate Poisoning

    RESULTS: The incidence of hypotension in patients with prolonged QTc intervals was higher than that in the patients with normal QTc intervals (P   0.019).[] The most common electrocardiographic abnormalities observed in organophosphate poisoning are sinus tachycardia, QT interval prolongation, and, very rarely, ventricular arrhythmias[] Sinus tachycardia was noted initially by ECG and Q-T interval prolongation with pleomorphic ventricular tachyarrhythmia ('Torsade de pointes') occurred on the third day of[]

  • Infiltrative Cardiomyopathy

    […] physical hx depends on the classification - CHF, dyspnea, orthonpnea, fatigue, weakness, anorexia, angina, poor exercise tolerance, peripheral edema, ascites, hepatomegally, hypotension[] Sinus tachycardia at 112 bpm, frequent premature ventricular contractions and 1.0 mm ST depression in V6, left axis deviation, left atrial enlargement, poor R-wave progression[] Cardiac: CHF, arrhythmias, hypotension, imaging abnormalities CHFpEF CHFrEF in amyloidosis Conduction disease with heart block, tachyarrhythmias, and low volts on EKG LVH[]

  • Cocaine Abuse

    A 55-year-old woman, a long-term cocaine abuser, presented with delirium, nausea, vomiting, hypoglycemia, hypercalcemia, and hypotension as manifestations of adrenal insufficiency[] Electrocardiogram on admission showed sinus tachycardia; left atrial enlargement, left ventricular hypertrophy and nonspecific T wave abnormalities over the anterior wall[] Hypotension: Hypotension in a cocaine abuser is most often due to volume depletion. IV fluid resuscitation should be initiated with frequent reassessments.[]

  • Decompression Sickness

    Impaired endothelial function can lead to capillary leak with hemoconcentration and hypotension in severe cases.[] […] symptoms include motor weakness, ataxia, dyspnea, urethral and anal sphincter dysfunction, shock and death.(8,20,21) Severe DCS may be accompanied by hemoconcentration and hypotension[] Most episodes are clinically silent or result in mild, transient hypotension.[]

  • Heat Exhaustion

    Despite initial presentations with severe hyperthermia, tachycardia and hypotension, only one patient with heat stroke had myocardial ischemia.[] On examination, patients appear tired, are usually sweaty and tachycardic, and may have orthostatic hypotension. Mental status is intact, unlike in heatstroke.[] Signs and Symptoms of Heat Exhaustion and Heatstroke Core Temperature* Signs Symptoms Heat Exhaustion 37 C to 40 C (98.6 F to 104 F) Anxiety Confusion Cutaneous flushing Hypotension[]

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