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46 Possible Causes for Cardiomegaly, Electrocardiogram Change, Pulsus Alternans

  • Heart Failure

    Acute cerebral injuries, such as cerebral ischemic or hemorrhagic events, have been repeatedly correlated with sudden electrocardiogram (ECG) changes, such as cardiac arrhythmias[ncbi.nlm.nih.gov] Pleural effusion and cardiomegaly were observed. A laboratory analysis revealed anemia with iron deficiency and elevated human parvovirus B19 (B19V) immunoglobulin M.[ncbi.nlm.nih.gov] alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info]

  • Cardiomyopathy

    In very few people with cardiomegaly and severe congestive heart failure, a heart transplant may be recommended.[m.webmd.com] The electrocardiogram pattern significantly changed with time, and the echocardiogram showed weakness of wall motion around the left ventricular apex.[ncbi.nlm.nih.gov] Changes on your heart tracing (electrocardiogram, or ECG) - this is a tracing of the electrical activity of the heart. Changes on your chest X-ray.[patient.info]

  • Dilated Cardiomyopathy

    Changes on your heart tracing (electrocardiogram, or ECG) - this is a tracing of the electrical activity of the heart. Changes on your chest X-ray .[patient.info] Cardiomegaly with marked biventricular dilation and fibrosis were noticeable histopathological findings.[ncbi.nlm.nih.gov] Pulsus alternans is an infrequent, complex pathophysiologic sign often associated with severe heart failure.[ncbi.nlm.nih.gov]

  • Alcoholic Cardiomyopathy

    Subsequently they underwent intermittent nocturnal peritoneal dialysis with a changing cycle of 6-12 hours per session.[ncbi.nlm.nih.gov] Key features of alcoholic cardiomyopathy are cardiac hypertrophy and ventricular dilatation, and the disease is manifested mainly as cardiomegaly, congestive heart failure[ncbi.nlm.nih.gov] Leg elevation promptly reversed the pulsus alternans, and the echocardiographic abnormality.[ncbi.nlm.nih.gov]

  • Ischemic Cardiomyopathy

    Treatment might involve medicines, surgery, other medical procedures, and lifestyle changes.[icdlist.com] Pulmonary venous congestion No cardiomegaly No or mild cardiomegaly Hemodynamics Normal or high EDP, low EF, diffusely dilated hypokinetic ventricles AV valve regurgitation[merckmanuals.com] Electrocardiogram A normal ECG is not conclusive in the diagnosis of congestive heart failure. Changing ECG profiles are commonly observed in suspected HF cases.[symptoma.com]

  • Fungal Myocarditis

    The following ways are used to diagnose myocarditis: [5] Electrocardiogram- Identifies nonspecific T-wave changes.[en.wikibooks.org] When it occurs quickly cardiomegaly, severe cardiac arrhythmias, and circulatory failure progresses rapidly comes death.[mybodypain.com] 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]

  • Acute Myocarditis

    (ECG) [2] ECG changes are often nonspecific.[explainmedicine.com] […] presence of Q waves or a new left bundle branch block (LBBB) are associated with higher rates of cardiac death or heart transplantation Radiology description Chest Xray: cardiomegaly[pathologyoutlines.com] Possible abnormalities on CXR (see Image): Normal Pulmonary oedema Cardiomegaly Pleural or pericardial effusions CXR showing acute pulmonary oedema (iii) Echocardiography[rcemlearning.co.uk]

  • Toxic Myocarditis

    CXR: Normal cardiac silhouette but pericarditis or overt clinical congestive heart failure is associated with cardiomegaly. Vascular redistribution.[patient.info] (ECG) [2] ECG changes are often nonspecific.[explainmedicine.com] […] presence of Q waves or a new left bundle branch block (LBBB) are associated with higher rates of cardiac death or heart transplantation Radiology description Chest Xray: cardiomegaly[pathologyoutlines.com]

  • Myocardial Fibrosis

    The electrocardiogram has nonspecific changes in the majority of myocarditis cases. There are also no specific echocardiographic features of chronic myocarditis.[myocarditisfoundation.org] Therefore, most of these cases may be a sequela of myocarditis, and more correctly termed post-myocarditic cardiomegaly.[link.springer.com] A tachycardia of 145 beats per min and radiological evidence of cardiomegaly indicated involvement of the heart, but an ECG failed to show signs of myocarditis or cardiac[ncbi.nlm.nih.gov]

  • Hypersensitivity Myocarditis

    (ECG) changes, and cardiac dysfunction on ultrasonography, especially in the setting of unremarkable coronary angiography Radiology description Features are similar to those[pathologyoutlines.com] CXR: Normal cardiac silhouette but pericarditis or overt clinical congestive heart failure is associated with cardiomegaly. Vascular redistribution.[patient.info] Her pulse was weak and thready, and she had an enlarged, tender liver, cardiomegaly, and S 3 and S 4 gallops.[nejm.org]

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