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59 Possible Causes for Pulsus Alternans, Systolic Murmur

  • Congestive Heart Failure

    alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] […] and diastolic murmurs and radiographic cardiomegaly.[nichiju.lin.gr.jp] 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]

  • Cardiomyopathy

    A 40-year-old obese woman was found to have a II/VI systolic murmur that worsened with standing.[ncbi.nlm.nih.gov] […] dysfunction Clinical findings LV and RV failure, sudden death, Cardiomegaly Functional AV valve regurgitation S3 and/or S4 Exertional dyspnea, angina, syncope, sudden death Systolic[merckmanuals.com] murmur mitral regurgitation murmur, S4 Bifid carotid pulse with a brisk upstroke and rapid downstroke Exertional dyspnea and fatigue LV RV failure Functional AV valve regurgitation[merckmanuals.com]

  • Acute Myocardial Infarction

    On day 2, however, the patient's vital signs deteriorated to a state of shock and systolic murmur appeared at the apical region.[ncbi.nlm.nih.gov] Diagnosis is made by detection of a new systolic ejection murmur, often associated with a precordial thrill.[brown.edu] Third and fourth heart sound, systolic murmur if mitral regurgitation or ventricular septal defect develops, pericardial rub.[patient.info]

  • Myocardial Infarction

    On day 2, however, the patient's vital signs deteriorated to a state of shock and systolic murmur appeared at the apical region.[ncbi.nlm.nih.gov] Third and fourth heart sound, systolic murmur if mitral regurgitation or ventricular septal defect develops, pericardial rub.[patient.info]

  • 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

    […] dysfunction Clinical findings LV and RV failure, sudden death, Cardiomegaly Functional AV valve regurgitation S3 and/or S4 Exertional dyspnea, angina, syncope, sudden death Systolic[merckmanuals.com] murmur mitral regurgitation murmur, S4 Bifid carotid pulse with a brisk upstroke and rapid downstroke Exertional dyspnea and fatigue LV RV failure Functional AV valve regurgitation[merckmanuals.com]

  • Fungal Myocarditis

    Once heart dysfunction sets in, signs of cardiac failure may manifest, such as pulmonary edema (fluid accumulation in the lungs), peripheral oedema, hypoxemia, pulsus alternans[medindia.net] Cardiogenic shock in fulminant cases Auscultation findings Brief systolic murmurs Heart failure S3 (and S4) gallops Pericarditis pericardial friction rub The clinical manifestation[amboss.com] Both systolic and diastolic dysfunction can occur [ 156 ].[intechopen.com]

  • Alcoholic Cardiomyopathy

    Leg elevation promptly reversed the pulsus alternans, and the echocardiographic abnormality.[ncbi.nlm.nih.gov] Systolic cardiac murmurs could be heard on mitral valve area, III/6 and conducted to left axilla.[jtd.amegroups.com] Auscultation can help to reveal the apical murmur of mitral regurgitation and the lower parasternal murmur of tricuspid regurgitation secondary to papillary muscle displacement[emedicine.com]

  • Primary Cardiomyopathy

    […] dysfunction Clinical findings LV and RV failure, sudden death, Cardiomegaly Functional AV valve regurgitation S3 and/or S4 Exertional dyspnea, angina, syncope, sudden death Systolic[msdmanuals.com] [心]収縮[期] systolic function収縮機能 systolic murmur (SM)収縮期雑音 t tachycardia 頻拍(脈) tachypnea呼吸頻数、頻呼吸 technetium (Tc)テクネシ(チ)ウム temporal resolution時間分解能 terminal portion終末部 tetralogy[tokyo-med.ac.jp] murmur mitral regurgitation murmur, S4 Bifid carotid pulse with a brisk upstroke and rapid downstroke Exertional dyspnea and fatigue LV RV failure Functional AV valve regurgitation[msdmanuals.com]

  • Hypersensitivity Myocarditis

    She had a systolic murmur at the apex. Her chest auscultation was normal. Abdominal examination was unremarkable.[pmj.bmj.com] Systolic murmurs of mitral regurgitation and tricuspid regurgitation may be present in patients with ventricular enlargement.[merckmanuals.com] [心]収縮[期] systolic function収縮機能 systolic murmur (SM)収縮期雑音 t tachycardia 頻拍(脈) tachypnea呼吸頻数、頻呼吸 technetium (Tc)テクネシ(チ)ウム temporal resolution時間分解能 terminal portion終末部 tetralogy[tokyo-med.ac.jp]

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