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19 Possible Causes for Pericardial Friction Rub, Pulsus Paradoxus, Superior Vena Cava Syndrome

  • Chronic Constrictive Pericarditis

    A pericardial friction rub is audible at some point in about 85% of patients with acute pericarditis, may have up to three components per cardiac cycle, is high-pitched, and[] This situation, termed “pulsus paradoxus,” is the classic hallmark of cardiac tamponade.[] Definition / general Pericarditis is an inflammation of the pericardium characterized by chest pain, pericardial friction rub and serial ECG changes Terminology Idiopathic[]

  • Cardiac Tamponade

    Additionally, there is a case report of tamponade during attempted stent placement in superior vena cava (SVC) syndrome (5).[] At physical examination, tachycardia, decreased heart sounds, neck vein distension, peripheral oedema and pericardial friction rubs may be present.[] Pulsus paradoxus Pulsus paradoxus (or paradoxical pulse) is an exaggeration ( 12 mm Hg or 9%) of the normal inspiratory decrease in systemic blood pressure.[]

  • Mediastinopericarditis

    Lesions in the middle mediastinum may compress blood vessels or airways, causing the superior vena cava syndrome or airway obstruction.[] Signs The typical auscultory finding of pericarditis is the "Pericardial Friction Rub" which is observed as a high-pitched, scratching sound likely caused by the inflamed[] (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[]

  • Hemopericardium

    Local vascular invasion may result in cerebral ischemia, myocardial infarction, and superior vena cava syndrome [ 1 ].[] Signs of pericardial involvement such as a pericardial friction rub, jugular venous distension or a paradoxical pulse suggest that surgical intervention may be required.[] Other observable signs include rapid heart rate, jugular venous distension, low blood pressure, and pulsus paradoxus.[]

  • Pulsus Paradoxus

    […] venous return Anaphylaxis (see Anaphylaxis, [[Anaphylaxis]]) Superior Vena Cava (SVC) Syndrome (see Superior Vena Cava Syndrome, [[Superior Vena Cava Syndrome]]) Physiology[] rub.[] 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.[] Other symptoms of pericarditis are fluid retention, hepatomegaly, ascites and pericardial friction rub.[] paradoxus - Kussmaul's sign - ECHO - IV fluids - pericardiocentesis - open thoracotomy[]

  • Pericardial Friction Rub

    , Esophageal varices, Varicocele, Gastric varices, Caput medusae ) - Superior vena cava syndrome - Lymph ( Lymphadenitis, Lymphedema, Lymphangitis ) Other Hypotension ( Orthostatic[] In children, rheumatic fever is often the cause of pericardial friction rub. Pericardial friction rub is one of several, similar sounds.[] Physical Examination Appearance Restlessness Irritability Weakness Pallor Vital signs HR: increased Temp: normal to increased RR: increased Cardiovascular Friction rub Pulsus[]

  • Pericardial Neoplasm

    Lipomatous hypertrophy presenting as superior vena cava syndrome . J. Cardiovasc. Comput. Tomogr. 8 , 250–251 (2014). 89.[] Auscultation may reveal pericardial friction rub, and heart sounds may be faint.[] Cardiac tamponade is diagnosed on the basis of clinical (engorged jugular veins, pulsus paradoxus) and echocardiographic (right atrial wall collapse, dilated vena cava) findings[]

  • Constrictive Pericarditis

    , Esophageal varices , Varicocele , Gastric varices , Caput medusae ) - Superior vena cava syndrome - Lymph ( Lymphadenitis , Lymphedema , Lymphangitis ) Other Hypotension[] At physical examination the characteristic finding is a pericardial friction rub.[] Examination revealed elevated neck veins, pulsus paradoxus, muffled heart sounds, decreased breath sounds and pedal oedema.[]

  • Rare Disease with Thoracic Aortic Aneurysm and Aortic Dissection

    vena cava syndrome due to compression of the superior vena cava; cough, dyspnea or both due to tracheal compression; hemoptysis due to rupture of the aneurysm into a bronchus[] Signs of pericardial involvement such as a pericardial friction rub, jugular venous distension or a paradoxical pulse suggest that surgical intervention may be required.[] The heart sounds were not muffled and there was no pulsus paradoxus. The second heart sound was physiologically split. The abdomen was obese with no visible pulsations.[]