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25 Possible Causes for Increased Area of Cardiac Dullness, Orthopnea

  • Congestive Heart Failure

    The patient experienced orthopnea due to congestive heart failure and could not assume any other position.[ncbi.nlm.nih.gov] Later on orthopnea and paroxysmal nocturnal dyspnea also develop. Later on dyspnea occurs even at rest. Orthopnea refers to breathlessness on lying flat.[symptoma.com] A 31-year-old woman complained of dyspnea and orthopnea at 38 weeks of gestation.[ncbi.nlm.nih.gov]

  • Aortic Valve Stenosis

    Other symptoms associated with AS are related to cardiac failure, such as paroxysmal nocturnal dyspnea, orthopnea, and dyspnea on exertion.[symptoma.com] The patient also presented dyspnea on minimal exertion, orthopnea, paroxysmal nocturnal dyspnea and edema of lower limbs. The patient denied fever.[web.archive.org]

  • 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.[merckmanuals.com] If pericardial effusion symptoms do occur, they might include: Shortness of breath or difficulty breathing (dyspnea) Discomfort when breathing while lying down (orthopnea)[mayoclinic.com] The pressure from the outside causes the blood to pool back and accumulate in the lungs which causes the symptoms of orthopnea and dyspnea.[pericarditispain.info]

  • 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[tele.med.ru] If left heart is unable to receive the blood, it can lead to congestion of vessels in the lungs, causing the dyspnea, cough, orthopnea and tachypnea etc.[drnajeeblectures.com] In severe cases, patients may complain of dyspnea, mild-to-moderate chest discomfort, pleuritic chest pain, edema, cough, or orthopnea.[atsu.edu]

  • Malignant Pericardial Effusion

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

  • Peripartum Cardiomyopathy

    Approximately 4 hours after cesarean section, progressive orthopnea developed.[ncbi.nlm.nih.gov] Two weeks after delivery, she suffered from severe symptoms of heart failure [orthopnea, New York Heart Association (NYHA) class IV, pulmonary edema and a reduced left ventricular[ncbi.nlm.nih.gov] […] are often noted during normal pregnancies, the potential for PPCMP should be considered if these symptoms are excessive and/or comorbid paroxysmal nocturnal dyspnea and orthopnea[ncbi.nlm.nih.gov]

  • Cardiomyopathy

    Symptoms: Patients with cardiomyopathy will typically present with dyspnea, orthopnea, paroxysmal nocturnal dyspnea, bilateral edema, and fatigue.[symptoma.com] These symptoms of heart failure most commonly include dyspnea , orthopnea , paroxysmal nocturnal dyspnea , and fluid retention. How Is Postpartum Cardiomyopathy Treated?[verywellhealth.com] Symptoms of heart failure may include shortness of breath, fatigue, cough, orthopnea, paroxysmal nocturnal dyspnea, and edema.[aafp.org]

  • Pericarditis

    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] There was no chest discomfort, orthopnea or paroxysmal nocturnal dyspnea. He did not have symptoms of cough, fever, foamy urine, or body weight loss.[casesjournal.biomedcentral.com] Pericardial effusion symptoms may include : Shortness of breath or difficulty breathing (dyspnea) Shortness of breath when lying down (orthopnea) Chest pain, usually behind[cardiachealth.org]

  • Ischemic Cardiomyopathy

    Orthopnea is caused by the pulmonary congestion which occurs during recumbency.[explainmedicine.com] […] progressively worse, if not treated Shortness of breath is initially related to physical activity and at later stages, may be present even at rest Difficulty lying flat on the bed (orthopnea[dovemed.com] Orthopnea is the sensation of breathlessness in the recumbent position, relieved by sitting or standing.[explainmedicine.com]

  • Cardiac Tamponade

    […] filling stroke volume ( venous congestion) cardiac output References: [2] Clinical features Usually initially asymptomatic Shortness of breath, especially while lying down ( orthopnea[amboss.com] She came to the emergency room with a 7-day history of dyspnea and orthopnea.[revespcardiol.org] Case Report A 28-year-old man was admitted with sudden onset and severe complaints of orthopnea and palpitations because of a pericardial tamponade resulting from a massive[cardiothoracicsurgery.biomedcentral.com]

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