These signs and symptoms may signal a cardiovascular problem.
Abnormal chest sounds.
Listen for muffled or distant heart sounds or adventitious or decreased breath sounds. Keep in mind that abnormal lung sounds may have a pulmonary cause, such as pneumothorax or pneumonia. Chest or back pain. Pulse, BP, or breathing problems. Assess for hypotension, hypertension, pulsus paradoxus, unequal pulse or BP readings between extremities, dyspnea, labored respirations, or bronchospasm.