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196 Possible Causes for Pulsus Paradoxus

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  • Asthma

    Severe airflow obstruction may be predicted by accessory muscle use, pulsus paradoxus, refusal to recline below 30 , a pulse 120 beats/min, and decreased breath sounds.[doi.org] Extrathoracic respiratory signs should also be systematically looked for, including cyanosis, finger deformation, pulsus paradoxus, and pursed lips breathing.[erj.ersjournals.com] Pulsus paradoxus noted earlier may be absent; this finding suggests respiratory muscle fatigue.[emedicine.medscape.com]

  • Chronic Obstructive Pulmonary Disease

    Invasive pulmonary aspergillosis (IPA) is an infection that often occurs in immunocompromised patients and has a high mortality rate. In recent years, the reported incidence of IPA in the context of chronic obstructive pulmonary disease (COPD) has seemingly increased. The combination of factors such as long-term[…][ncbi.nlm.nih.gov]

  • Congestive Heart Failure

    Congestive heart failure occurs when the heart can no longer meet the metabolic demands of the body at normal physiologic venous pressures. Typically, the heart can respond to increased demands by means of 1 of the following: Increasing the heart rate, which is controlled by neural and humoral input Increasing[…][emedicine.com]

  • Pericardial Effusion

    3.3; 95% CI, 1.8-6.3), while a pulsus paradoxus of 10 mm Hg or less greatly lowers the likelihood (likelihood ratio, 0.03; 95% CI, 0.01-0.24).[jamanetwork.com] ., patients with clinical signs of tachycardia ( 90 bpm), hypotension (systolic blood pressure 100 mmHg), elevated jugular venous pressure and/or pulsus paradoxus 10 mmHg[clinicaltrials.gov] The absence of pulsus paradoxus (Table 1) makes this form difficult to recognize.[rjmatthewsmd.com]

  • Hypovolemia

    Intradialytic hypovolemia is a common complication of hemodialysis treatments. Blood volume changes that occur during dialysis can be followed by on-line optical sensing of the patient's hematocrit. Characteristic curves of blood volume changes can be seen in fluid overloaded patients with symptoms of hypovolemia, i.e.[…][ncbi.nlm.nih.gov]

  • Cardiac Tamponade

    Pulsus paradoxus Pulsus paradoxus (or paradoxical pulse) is an exaggeration ( 12 mm Hg or 9%) of the normal inspiratory decrease in systemic blood pressure.[emedicine.medscape.com] Pulse oximetry – This will monitor the level of blood oxygenation and could detect pulsus paradoxus among patients with cardiac tamponade.[symptoma.com] However, pulsus paradoxus can be present in the absence of cardiac tamponade, and vice versa.[doi.org]

  • Restrictive Cardiomyopathy

    Pulsus paradoxus does not occur.[merckmanuals.com] The absence of pulsus paradoxus helps to differentiate RCM from constrictive pericarditis. Patients may complain about chest pain due to compression of small vessels.[symptoma.com] Splitting of the second heart sound in constrictive pericarditis, with observations on the mechanism of pulsus paradoxus. Am. Heart J. 64, 765–778 (1962). 104.[nature.com]

  • Status Asthmaticus

    paradoxus 25 mm Hg, peak expiratory flow rate Altered mental status, paradoxical respirations, bradycardia, a quiet chest, and absence of pulsus paradoxus from respiratory[accessmedicine.mhmedical.com] Severe airflow obstruction may be predicted by accessory muscle use, pulsus paradoxus, refusal to recline below 30 , a pulse 120 beats/min, and decreased breath sounds.[doi.org] paradoxus 25 mm Hg, peak expiratory flow rate 1 Altered mental status, paradoxical respirations, bradycardia, a quiet chest, and absence of pulsus paradoxus from respiratory[accessmedicine.mhmedical.com]

  • Chronic Constrictive Pericarditis

    paradoxus in the absence of an effusion annulus paraxodus elevated filling pressures with a preserved mitral septal annular velocity ( septal e' ) annulus reversus tissue[radiopaedia.org] This situation, termed “pulsus paradoxus,” is the classic hallmark of cardiac tamponade.[aafp.org] Pulsus paradoxus, a finding in cardiac tamponade, is uncommon [ 2 ] .[patient.info]

  • Hemopericardium

    paradoxus. [6] Treatment [ edit ] When discovered, hemopericardium is usually treated by pericardiocentesis, a procedure wherein a needle is used to remove the fluid from[en.wikipedia.org] At admission, the heart rate was 112 bpm, and the patient had elevated jugular venous pressure, pulsus paradoxus, and distant heart sounds on auscultation.[academic.oup.com] paradoxus Decrease in systolic pressure with inspiration of more than 10 mm Hg Rate of accumulation of fluid is proportional to severity of symptoms The faster the fluid[learningradiology.com]

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