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23 Possible Causes for Pulsus Alternans, Summation Gallop

  • 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

    Noisy respiratory efforts often make cardiac auscultation difficult; a summation gallop—merger of 3rd (S 3 ) and 4th (S 4 ) heart sounds—may be present.[merckmanuals.com]

  • Cardiomyopathy

    Cardiomyopathy is disease in which the heart muscle becomes weakened, stretched, or has another structural problem. It often occurs when the heart cannot pump or function well. Most people with cardiomyopathy have heart failure. There are many types of cardiomyopathy, with different causes. Some of the more[…][medlineplus.gov]

  • Myocardial Infarction

    Myocardial infarction, commonly referred to as heart attack, is a condition characterized by necrosis of the heart muscles due to development of ischemia that stays on for prolonged periods. Such a condition develops when the heart does not receive oxygen and blood due to blockage in the coronary arteries.[…][symptoma.com]

  • Acute Myocardial Infarction

    We herein report the case of a 25-year-old Japanese woman with left-main-trunk acute myocardial infarction (LMT-AMI). She had cardiogenic shock, so emergency percutaneous intervention was performed. Intravascular ultrasound of LMT-AMI showed that the three-layered structure of the intima, tunica media, and[…][ncbi.nlm.nih.gov]

  • Dilated Cardiomyopathy

    Pulsus alternans is an infrequent, complex pathophysiologic sign often associated with severe heart failure.[ncbi.nlm.nih.gov] Evaluation noted pulsus alternans, with beat-to-beat alternations in aortic pulse wave amplitude, both clinically and on diagnostic studies.[ncbi.nlm.nih.gov] Recognition of pulsus alternans is important as it provides significant clinical information, may suggest suboptimal medical management, and may be the first warning sign[ncbi.nlm.nih.gov]

  • Ischemic Cardiomyopathy

    Because of the shortage of donor hearts, 16 (33%) of 48 patients with ischemic cardiomyopathy died awaiting transplantation. Determining factors that predict effective coronary revascularization and identifying patients who may benefit from revascularization is crucial. From 1984 to 1990, 207 ischemic cardiomyopathy[…][ncbi.nlm.nih.gov]

  • Alcoholic Cardiomyopathy

    Leg elevation promptly reversed the pulsus alternans, and the echocardiographic abnormality.[ncbi.nlm.nih.gov] Application of a small dose of glyceryl trinitrate paste (0.25 in) resulted in severe left ventricular dysfunction with the appearance of pulsus alternans in a patient with[ncbi.nlm.nih.gov]

  • Acute Myocarditis

    BACKGROUND: The aim of this study was to evaluate the diagnostic potential of a novel cardiovascular magnetic resonance (CMR) based multiparametric imaging approach in suspected myocarditis and to compare it to traditional Lake Louise criteria (LLC). METHODS: CMR data from 67 patients with suspected acute[…][ncbi.nlm.nih.gov]

  • 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[…][ncbi.nlm.nih.gov]

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