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Symptoms of Heart disease



Symptoms of Heart disease

The list of signs and symptoms mentioned in various sources for Heart disease includes the 13 symptoms listed below:

Research symptoms & diagnosis of Heart disease:

Heart disease: Complications

Review medical complications possibly associated with Heart disease:

Diagnostic Testing

Diagnostic testing of medical conditions related to Heart disease:

Research More About Heart disease

Do I have Heart disease?

Heart disease: Medical Mistakes

Heart disease: Undiagnosed Conditions

Diseases that may be commonly undiagnosed in related medical areas:

Home Diagnostic Testing

Home medical tests related to Heart disease:

Wrongly Diagnosed with Heart disease?

The list of other diseases or medical conditions that may be on the differential diagnosis list of alternative diagnoses for Heart disease includes:

See the full list of 3 alternative diagnoses for Heart disease

Heart disease: Research Doctors & Specialists

Research all specialists including ratings, affiliations, and sanctions.

More about symptoms of Heart disease:

More information about symptoms of Heart disease and related conditions:

Other Possible Causes of these Symptoms

Click on any of the symptoms below to see a full list of other causes including diseases, medical conditions, toxins, drug interactions, or drug side effect causes of that symptom.

Medical Books Online about Heart disease

Medical Books Excerpts Excerpts of published medical book chapters related to Heart disease are available from published medical books for more detailed information about Heart disease.

Medical Books Excerpts
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • "In a Page: Signs and Symptoms" (2004)
  • "In a Page: Signs and Symptoms" (2004)
  • "In a Page: Signs and Symptoms" (2004)
  • "In A Page: Pediatric Signs and Symptoms" (2007)
  • "In A Page: Pediatric Signs and Symptoms" (2007)
  • "Differential Diagnosis in Primary Care" (2007)
  • "Differential Diagnosis in Primary Care" (2007)
  • "A Pocket Manual of Differential Diagnosis" (1999)
  • "A Pocket Manual of Differential Diagnosis" (1999)
  • "A Pocket Manual of Differential Diagnosis" (1999)
  • "Professional Guide to Diseases (Eighth Edition)" (2005)
  • "Professional Guide to Diseases (Eighth Edition)" (2005)
  • "Professional Guide to Diseases (Eighth Edition)" (2005)
  • "Professional Guide to Diseases (Eighth Edition)" (2005)
  • "Professional Guide to Diseases (Eighth Edition)" (2005)
  • "Professional Guide to Diseases (Eighth Edition)" (2005)
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • "Field Guide to Bedside Diagnosis" (2007)
  • "Field Guide to Bedside Diagnosis" (2007)
  • "Handbook of Diseases" (2003)
  • "Handbook of Diseases" (2003)
  • "Handbook of Diseases" (2003)
  • "Handbook of Diseases" (2003)
  • "Handbook of Diseases" (2003)
  • "The Diagnostic Approach to Symptoms and Signs in Pediatrics" (2006)
  • "The Diagnostic Approach to Symptoms and Signs in Pediatrics" (2006)
  • "Differential Diagnosis in Primary Care" (2007)
  • "Differential Diagnosis in Primary Care" (2007)
  • "Avoiding Common Pediatric Errors" (2008)

Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.

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Patient Surveys for Heart disease

Symptoms of Heart disease: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the symptoms of Heart disease.


Cardiac arrest, ventricular fibrillation: Signs and Symptoms
(Professional Guide to Diseases (Eighth Edition))

Loss of consciousness, absent pulse, apnea, anuria, cool extremities

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Cardiac arrhythmias: Signs and symptoms
(Professional Guide to Diseases (Eighth Edition))

Signs and symptoms of cardiac arrhythmias include palpitations, fainting, light-headedness, dizziness, chest pain, shortness of breath, changes in pulse patterns, paleness, and the temporary absence of breathing. However, the patient with a cardiac arrhythmia may be asymptomatic until the development of sudden cardiac arrest.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Cardiac tamponade: Signs and symptoms
(Professional Guide to Diseases (Eighth Edition))

Cardiac tamponade classically produces increased venous pressure with jugular vein distention, reduced arterial blood pressure, muffled heart sounds on auscultation, and pulsus paradoxus (an abnormal inspiratory drop in systemic blood pressure greater than 15 mm Hg). These classic symptoms represent failure of physiologic compensatory mechanisms to override the effects of rapidly rising pericardial pressure, which limits diastolic filling of the ventricles and reduces stroke volume to a critically low level. Generally, ventricular end-systolic volume may drop because of inadequate preload. The increasing pericardial pressure is transmitted equally across the heart cavities, producing a matching rise in intracardiac pressure, especially atrial and end-diastolic ventricular pressures. Cardiac tamponade may also cause dyspnea, diaphoresis, pallor or cyanosis, anxiety, tachycardia, narrow pulse pressure, restlessness, and hepatomegaly, but the lung fields will be clear. The patient typically sits upright and leans forward.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Heart failure: Signs and Symptoms
(Professional Guide to Diseases (Eighth Edition))

Left-sided: dyspnea, orthopnea, crackles, wheezing, hypoxia, respiratory acidosis, cough, cyanosis, palpitations, arrhythmias, elevated blood pressure, pulsus alternans; right-sided: dependent peripheral edema, hepatomegaly, splenomegaly, jugular vein distention, ascites, weight gain, arrhythmias, hepatojugular reflux, nausea, vomiting, anorexia, fatigue, dizziness, syncope, weakness

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Rheumatic fever and rheumatic heart disease: Signs and symptoms
(Professional Guide to Diseases (Eighth Edition))

In 95% of patients, rheumatic fever characteristically follows a streptococcal infection that appeared a few days to 6 weeks earlier. A temperature of at least 100.4° F (38° C) occurs, and most patients complain of migratory joint pain or polyarthritis. Swelling, redness, and signs of effusion usually accompany such pain, which most commonly affects the knees, ankles, elbows, or hips. In 5% of patients (generally those with carditis), rheumatic fever causes skin lesions such as erythema marginatum, a nonpruritic, macular, transient rash that gives rise to red lesions with blanched centers. Rheumatic fever may also produce firm, movable, nontender, subcutaneous nodules about 3 mm to 2 cm in diameter, usually near tendons or bony prominences of joints (especially the elbows, knuckles, wrists, and knees) and less often on the scalp and backs of the hands. These nodules persist for a few days to several weeks and, like erythema marginatum, often accompany carditis.

Later, rheumatic fever may cause transient chorea, which develops up to 6 months after the original streptococcal infection. Mild chorea may produce hyperirritability, a deterioration in handwriting, or an inability to concentrate. Severe chorea (Sydenham’s chorea) causes purposeless, nonrepetitive, involuntary muscle spasms; poor muscle coordination; and weakness. Chorea always resolves without residual neurologic damage.

The most destructive effect of rheumatic fever is carditis, which develops in up to 50% of patients and may affect the endocardium, myocardium, pericardium, or the heart valves. Pericarditis causes a pericardial friction rub and, occasionally, pain and effusion. Myocarditis produces characteristic lesions called Aschoff bodies (in the acute stages) and cellular swelling and fragmentation of interstitial collagen, leading to formation of a progressively fibrotic nodule and interstitial scars. Endocarditis causes valve leaflet swelling, erosion along the lines of leaflet closure, and blood, platelet, and fibrin deposits, which form beadlike vegetations. Endocarditis affects the mitral valve most often in females; the aortic, most often in males. In both females and males, endocarditis affects the tricuspid valves occasionally and the pulmonic only rarely.

Severe rheumatic carditis may cause heart failure with dyspnea; right upper quadrant pain; tachycardia; tachypnea; a hacking, nonproductive cough; edema; and significant mitral and aortic murmurs. The most common of such murmurs include:

❑ a systolic murmur of mitral insufficiency (high-pitched, blowing, holosystolic, loudest at apex, possibly radiating to the anterior axillary line)

❑ a midsystolic murmur due to stiffening and swelling of the mitral leaflet

❑ occasionally, a diastolic murmur of aortic insufficiency (low-pitched, rumbling, almost inaudible). Valvular disease may eventually result in chronic valvular stenosis and insufficiency, including mitral stenosis and insufficiency, and aortic insufficiency. In children, mitral insufficiency remains the major sequela of rheumatic heart disease.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Cardiac tamponade: Signs and symptoms
(Handbook of Diseases)

Cardiac tamponade typically produces increased venous pressure with neck vein distention, reduced arterial blood pressure, muffled heart sounds on auscultation, and paradoxical pulse (an abnormal inspiratory drop in systemic blood pressure greater than 15 mm Hg). These classic signs represent failure of physiologic compensatory mechanisms to override the effects of rapidly rising pericardial pressure, which limits diastolic filling of the ventricles and reduces stroke volume to a critically low level.

Generally, ventricular end-systolic volume may drop because of inadequate preload. The increasing pericardial pressure is transmitted equally across the heart cavities, producing a matching rise in intracardiac pressure, especially atrial and end-diastolic ventricular pressures.

Cardiac tamponade may also cause dyspnea, diaphoresis, pallor or cyanosis, anxiety, tachycardia, narrow pulse pressure, restlessness, and hepatomegaly, even though the lung fields are clear. The patient typically sits upright and leans forward.

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Diseases, 2003

Heart failure: Signs and symptoms
(Handbook of Diseases)

Heart failure is usually classified by the site of failure (left-sided, right-sided, or both). It may also be classified as systolic or diastolic. These classifications represent different clinical aspects of heart failure, not distinct diseases.

Left-sided heart failure primarily produces pulmonary signs and symptoms; right-sided heart failure primarily produces systemic signs and symptoms. However, heart failure often affects both sides of the heart.

Left-sided heart failure

Clinical signs of left-sided heart failure include dyspnea, orthopnea, crackles, possibly wheezing, hypoxia, respiratory acidosis, cough, cyanosis or pallor, palpitations, arrhythmias, elevated blood pressure, and pulsus alternans. Symptoms are due to decreased left ventricular output, which results in fluid accumulation in the lungs.

Right-sided heart failure

Clinical signs of right-sided heart failure include dependent peripheral edema, hepatomegaly, splenomegaly, jugular vein distention, ascites, slow weight gain, arrhythmias, hepatojugular reflex, abdominal distention, nausea, vomiting, anorexia, weakness, fatigue, dizziness, and syncope. Right-sided heart failure is often caused by disorders that increase vascular resistance (such as pulmonary embolism or stenosis, or hypertension).

Systolic failure

Systolic failure occurs when the heart’s ability to contract effectively decreases. This causes a decrease in the cardiac output and the ejection fraction. Clinical signs of systolic dysfunction include an S3 gallop, normal or low blood pressure, and an ejection fraction of less than 40%.

Diastolic failure

Diastolic failure occurs when the heart has a problem relaxing. The heart can’t properly fill with blood because the muscle has become stiff and noncompliant. Clinical signs of diastolic failure include an S4, elevated blood pressure, and a normal or near normal ejection fraction.

Complications

Complications of heart failure typically include pulmonary edema, venostasis with a predisposition to thromboembolism (associated primarily with prolonged bed rest), cerebral insufficiency, and renal insufficiency with severe electrolyte imbalance. (See Pulmonary edema: How to intervene.)

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Diseases, 2003

Rheumatic fever and rheumatic heart disease: Signs and symptoms
(Handbook of Diseases)

In 95% of patients, rheumatic fever characteristically follows a streptococcal infection that appeared a few days to 6 weeks earlier. A temperature of at least 100.4° F (38° C) occurs.

Joint pain

Most patients complain of migratory joint pain or polyarthritis. Swelling, redness, and signs of effusion usually accompany such pain, which most commonly affects the knees, ankles, elbows, or hips.

Skin lesions and nodules

In 5% of patients (generally those with carditis), rheumatic fever causes skin lesions, such as erythema marginatum. This nonpruritic, macular, transient rash gives rise to red lesions with blanched centers.

Rheumatic fever may also produce firm, movable, nontender, subcutaneous nodules ⅛" to ¾" (0.5 to 2 cm) in diameter, usually near tendons or bony prominences of joints (especially the elbows, knuckles, wrists, and knees) and less commonly on the scalp and backs of the hands. These nodules persist for a few days to several weeks and, like erythema marginatum, often accompany carditis.

Chorea

Later, rheumatic fever may cause transient chorea, which develops up to 6 months after the original streptococcal infection.

Mild chorea may produce hyperirritability, a deterioration in handwriting, or an inability to concentrate. Severe chorea causes purposeless, nonrepetitive, involuntary muscle spasms; poor muscle coordination; and weakness. Chorea always resolves without residual neurologic damage.

Carditis

The most destructive effect of rheumatic fever is carditis, which develops in up to 50% of patients. It may affect the endocardium, myocardium, pericardium, or the heart valves.

Pericarditis causes a pericardial friction rub and, occasionally, pain and effusion. Myocarditis produces characteristic lesions called Aschoff bodies (in the acute stages) and cellular swelling and fragmentation of interstitial collagen, leading to formation of a progressively fibrotic nodule and interstitial scars.

Endocarditis causes valve leaflet swelling, erosion along the lines of leaflet closure, and blood, platelet, and fibrin deposits, which form beadlike vegetations. Endocarditis usually affects the mitral valve in females and the aortic valve in males. In both sexes, endocarditis affects the tricuspid valves occasionally and the pulmonic valve only rarely.

Severe rheumatic carditis may cause heart failure with dyspnea, right-upper-quadrant pain, tachycardia, tachypnea, significant mitral and aortic murmurs, and a hacking, nonproductive cough.

The most common murmurs include:

❑ a systolic murmur of mitral insufficiency (high-pitched, blowing, holo-systolic, loudest at apex, possibly radiating to the anterior axillary line)

❑ a midsystolic murmur caused by stiffening and swelling of the mitral leaflet

❑ occasionally, a diastolic murmur of aortic insufficiency. Valvular disease may eventually result in chronic valvular stenosis and insufficiency, including mitral stenosis and insufficiency and aortic insufficiency. In children, mitral insufficiency remains the major after-effect of rheumatic heart disease.

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Diseases, 2003

Article Excerpts About Symptoms of Heart disease:

Heart disease can often have no symptoms, which is why it is called a "silent" killer. But, there are some symptoms that can alert you to a possible problem. Chest or arm discomfort, especially while under stress or during activity, is a classic symptom of heart, and is a warning sign of a heart attack. Women or older people may also have fatigue (with no reason why), shortness of breath, dizziness, nausea, or abnormal heart beats (or palpitations). (Source: excerpt from HEART AND CARDIOVASCULAR DISEASE: NWHIC)

Heart disease as a symptom:

For a more detailed analysis of Heart disease as a symptom, including causes, drug side effect causes, and drug interaction causes, please see our Symptom Center information for Heart disease.

Medical articles and books on symptoms:

These general reference articles may be of interest in relation to medical signs and symptoms of disease in general:

Full list of premium articles on symptoms and diagnosis

About signs and symptoms of Heart disease:

The symptom information on this page attempts to provide a list of some possible signs and symptoms of Heart disease. This signs and symptoms information for Heart disease has been gathered from various sources, may not be fully accurate, and may not be the full list of Heart disease signs or Heart disease symptoms. Furthermore, signs and symptoms of Heart disease may vary on an individual basis for each patient. Only your doctor can provide adequate diagnosis of any signs or symptoms and whether they are indeed Heart disease symptoms.


 » Next page: Diagnostic Tests for Heart disease

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