Cardiac amyloidosis physical examination: Difference between revisions
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The blood pressure may be low or may drop when rising to a standing position ([[orthostatic hypotension]]). Orthostatic hypotension is typical especially in kidney involvement. | The blood pressure may be low or may drop when rising to a standing position ([[orthostatic hypotension]]). Orthostatic hypotension is typical especially in kidney involvement. | ||
===Neck=== | ===Head and Neck=== | ||
*[[Jugular venous pressure|Elevated jugular pressure]] | *[[Jugular venous pressure|Elevated jugular pressure]] | ||
* Periorbital purpura | |||
* [[Macroglossia]] | |||
* Abnormal phonation | |||
===Extremities=== | ===Extremities=== | ||
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:*[[arrhythmias]] <ref name="pmid17062380">{{cite journal |author=Rapezzi C, Perugini E, Salvi F, Grigioni F, Riva L, Cooke RM, Ferlini A, Rimessi P, Bacchi-Reggiani L, Ciliberti P, Pastorelli F, Leone O, Bartolomei I, Pinna AD, Arpesella G, Branzi A |title=Phenotypic and genotypic heterogeneity in transthyretin-related cardiac amyloidosis: towards tailoring of therapeutic strategies? |journal=[[Amyloid : the International Journal of Experimental and Clinical Investigation : the Official Journal of the International Society of Amyloidosis]] |volume=13 |issue=3 |pages=143–53 |year=2006 |month=September |pmid=17062380 |doi=10.1080/13506120600877136 |url=http://informahealthcare.com/doi/abs/10.1080/13506120600877136 |accessdate=2012-02-13}}</ref> | :*[[arrhythmias]] <ref name="pmid17062380">{{cite journal |author=Rapezzi C, Perugini E, Salvi F, Grigioni F, Riva L, Cooke RM, Ferlini A, Rimessi P, Bacchi-Reggiani L, Ciliberti P, Pastorelli F, Leone O, Bartolomei I, Pinna AD, Arpesella G, Branzi A |title=Phenotypic and genotypic heterogeneity in transthyretin-related cardiac amyloidosis: towards tailoring of therapeutic strategies? |journal=[[Amyloid : the International Journal of Experimental and Clinical Investigation : the Official Journal of the International Society of Amyloidosis]] |volume=13 |issue=3 |pages=143–53 |year=2006 |month=September |pmid=17062380 |doi=10.1080/13506120600877136 |url=http://informahealthcare.com/doi/abs/10.1080/13506120600877136 |accessdate=2012-02-13}}</ref> | ||
*Auscultation may reveal [[rales]], [[heart murmur]]s, and/or other pathologic heart sounds. | *Auscultation may reveal [[rales]], [[heart murmur]]s, and/or other pathologic heart sounds. | ||
==References== | ==References== | ||
Revision as of 19:12, 3 May 2013
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Cardiac amyloidosis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Cardiac amyloidosis physical examination On the Web |
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American Roentgen Ray Society Images of Cardiac amyloidosis physical examination |
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Risk calculators and risk factors for Cardiac amyloidosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor: Cafer Zorkun, M.D., Ph.D. [2]; Lakshmi Gopalakrishnan, M.B.B.S. [3]
Overview
Cardiac amyloidosis is difficult to diagnose. More than 50% of the patients with cardiac amyloidosis present with signs and symptoms suggestive of right heart failure. Common physical exam findings include elevated jugular venous pressure, third heart sound and pedal edema.
Physical Examination
Vitals
Blood Pressure
The blood pressure may be low or may drop when rising to a standing position (orthostatic hypotension). Orthostatic hypotension is typical especially in kidney involvement.
Head and Neck
- Elevated jugular pressure
- Periorbital purpura
- Macroglossia
- Abnormal phonation
Extremities
Abdomen
- Typical physical findings specific for cardiac amyloidosis:
- Auscultation may reveal rales, heart murmurs, and/or other pathologic heart sounds.
References
- ↑ Rapezzi C, Perugini E, Salvi F, Grigioni F, Riva L, Cooke RM, Ferlini A, Rimessi P, Bacchi-Reggiani L, Ciliberti P, Pastorelli F, Leone O, Bartolomei I, Pinna AD, Arpesella G, Branzi A (2006). "Phenotypic and genotypic heterogeneity in transthyretin-related cardiac amyloidosis: towards tailoring of therapeutic strategies?". Amyloid : the International Journal of Experimental and Clinical Investigation : the Official Journal of the International Society of Amyloidosis. 13 (3): 143–53. doi:10.1080/13506120600877136. PMID 17062380. Retrieved 2012-02-13. Unknown parameter
|month=ignored (help)