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20 Possible Causes for Patient Appears Acutely Ill, Pulsus Alternans

  • Congestive Heart Failure

    alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] alternans Increased intensity of P 2 heart sound Hepatojugular reflux Ascites, hepatomegaly, and/or anasarca Central or peripheral cyanosis, pallor See Presentation for more[emedicine.com] 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 or pulsus[patient.info]

  • Pulmonary Edema

    Serotonin syndrome (SS) is a potentially life-threatening condition resulting from excessive central and peripheral serotonergic activity. Clinically, it is a triad of mental-status changes, neuromuscular abnormalities, and autonomic disturbances. It can be caused by intentional self-poisoning, overdose, or inadvertent[…][ncbi.nlm.nih.gov]

  • Myocardial Infarction

    Coronary Heart Disease A heart attack happens if the flow of oxygen-rich blood to a section of heart muscle suddenly becomes blocked and the heart can't get oxygen. Most heart attacks occur as a result of coronary heart disease (CHD). CHD is a condition in which a waxy substance called plaque builds up inside[…][web.archive.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]

  • Acute Myocarditis

    Abstract A 5-month-old boy was admitted to hospital presenting with cardiogenic shock. The echocardiographic examinations revealed a severe ventricular dysfunction. Despite the aggressive medical therapy, his hemodynamic status progressively deteriorated. Mechanical circulatory support was initially provided with[…][ncbi.nlm.nih.gov]

  • Viral Myocarditis

    This report describes a patient with viral myocarditis who developed acute dilated cardiomyopathy. The patient recovered well but a left ventricular aneurysm was detected angiographically. There was no history of myocardial infarction and the coronary arteries were normal. This is the first reported case of left[…][ncbi.nlm.nih.gov]

  • Influenza

    Pulsus paradoxus was 20 mmHg. The electrocardiogram showed low-voltage QRS complex with electrical alternans.[ncbi.nlm.nih.gov] Some patients appear acutely ill, with some weakness and respiratory findings, whereas others appear only mildly ill.[emedicine.medscape.com] […] varies among patients who present with influenza.[emedicine.medscape.com]

  • Heart Failure

    The patient appears extremely ill, poorly perfused, restless, sweaty, tachypneic, tachycardic, hypoxic, and coughing, with an increased work of breathing and using respiratory[emedicine.medscape.com] alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] […] respiratory muscle strength, decreased endurance, and ischemia Pulmonary edema Acute pulmonary edema is defined as the sudden increase in PCWP (usually 25 mm Hg) as a result of acute[emedicine.medscape.com]

  • Acute Aortic Regurgitation

    Signs of the disease commonly include tachycardia, cyanosis, pulsus alternans, crepitations in the lungs indicating pulmonary edema and hypotension and peripheral vasoconstriction[symptoma.com]

  • Atrial Flutter

    Orchard and Cingolani ( 14 ) described how arrhythmogenic consequences of acidosis such as re-entry, pulsus alternans, and early/delayed after-depolarizations may provoke[clinical.diabetesjournals.org]

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