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17 Possible Causes for Increased Area of Cardiac Dullness, Nocturnal Paroxysmal Dyspnea

  • Congestive Heart Failure

    Features due to left heart failure: Dyspnea, orthopnea and paroxysmal nocturnal dyspnea: These symptoms develop due to congestion of the lungs.[] Major criteria: · Paroxysmal nocturnal dyspnea · Neck vein distention · Rales · Radiographic cardiomegaly (increasing heart size on chest radiography) · Acute pulmonary edema[] Later on orthopnea and paroxysmal nocturnal dyspnea also develop. Later on dyspnea occurs even at rest. Orthopnea refers to breathlessness on lying flat.[]

  • Cardiomyopathy

    Symptoms: Patients with cardiomyopathy will typically present with dyspnea, orthopnea, paroxysmal nocturnal dyspnea, bilateral edema, and fatigue.[] These symptoms of heart failure most commonly include dyspnea , orthopnea , paroxysmal nocturnal dyspnea , and fluid retention. How Is Postpartum Cardiomyopathy Treated?[] […] symptom) Syncope and presyncope Angina Palpitations Orthopnea and paroxysmal nocturnal dyspnea (early signs of congestive heart failure [CHF]) CHF (relatively uncommon but[]

  • Aortic Valve Stenosis

    Other symptoms associated with AS are related to cardiac failure, such as paroxysmal nocturnal dyspnea, orthopnea, and dyspnea on exertion.[] The patient also presented dyspnea on minimal exertion, orthopnea, paroxysmal nocturnal dyspnea and edema of lower limbs. The patient denied fever.[] The clinical picture consists of the SAD triad: syncope upon physical exertion, angina and dyspnea.[]

  • Dilated Cardiomyopathy

    The following are the symptoms with which a patient may present: fatigue, orthopnea, dyspnea on exertion, paroxysmal nocturnal dyspnea, increasing edema, weight gain, or an[] At presentation she had dyspnea at rest, orthopnea and paroxysmal nocturnal dyspnea.[] Case presentation A 25-year old female presented to the emergency department with a one week history of low grade fever, increasing cough and dyspnea on exertion.[]

  • Ischemic Cardiomyopathy

    Pulmonary congestion reduces when the patient is in erect position, it results in improvement in symptoms. [1],[2],[5] Paroxysmal nocturnal dyspnea Paroxysmal nocturnal dyspnea[] nocturnal dyspnea) Chest pain or pressure may be present along with the above symptoms Fatigue and weakness are commonly associated with cardiomyopathy Dizziness and lightheadedness[] […] patients in whom the additional volume cannot be pumped out by the left ventricle, there is a significant reduction in vital capacity and pulmonary compliance with resultant dyspnea[]

  • Primary Cardiomyopathy

    Abstract Eleven patients with hypertrophic obstructive cardiomyopathy and eight patients with idiopathic congestive cardiomyopathy underwent extensive neuromuscular studies to determine if a skeletal myopathy is associated with uncomplicated primary cardiomyopathy. The clinical examination revealed peripheral[…][]

  • Alcoholic Cardiomyopathy

    Furthermore, some will have paroxysmal nocturnal dyspnea and episodic coughs that produce frothy sputum.[] Dyspnea, orthopnea, and paroxysmal nocturnal dyspnea are the hallmark complaints, but chest discomfort, fatigue, palpitations, dizziness, syncope, anorexia, and many others[] A majority will experience dyspnea on exertion. As ACM progresses, patients can develop orthopnea.[]

  • Peripartum Cardiomyopathy

    […] or comorbid paroxysmal nocturnal dyspnea and orthopnea are present, even in patients with preeclampsia.[] Symptoms may include shortness of breath, persistent cough, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, chest pain, palpitations, dizziness, and abdominal[] These symptoms of heart failure most commonly include dyspnea, orthopnea, paroxysmal nocturnal dyspnea, and fluid retention. How Is Postpartum Cardiomyopathy Treated?[]

  • Pericardial Effusion

    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.[] , orthopnea, paroxysmal nocturnal dyspnea).[] […] of right-sided heart failure (eg, peripheral edema, nausea, abdominal discomfort, ascites) become apparent and usually precede signs of left-sided failure (eg, exertional dyspnea[]

  • Suppurative Pericarditis

    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[] The chest discomfort noted with acute pericarditis, as well as orthopnea and paroxysmal nocturnal dyspnea, does not usually occur in individuals with constrictive pericarditis[] Increased area of cardiac dullness to percussion. Normally, cardiac dullness extends laterally to the apical impulse in the fifth intercostal space.[]

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