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19 Possible Causes for Cardiomegaly, Increased Area of Cardiac Dullness, S3 Gallop

  • Congestive Heart Failure

    Autopsy showed mild cardiomegaly with microscopic foci of myocardial fibrosis and extensive contraction band necrosis.[ncbi.nlm.nih.gov] […] criteria: · Paroxysmal nocturnal dyspnea · Neck vein distention · Rales · Radiographic cardiomegaly (increasing heart size on chest radiography) · Acute pulmonary edema · S3[medicalcriteria.com] The major criteria include: Paroxysmal nocturnal dyspnea Distention of neck veins Crepitations Cardiomegaly Acute pulmonary edema S3 gallop rhythm Increased venous pressure[symptoma.com]

  • Cardiomyopathy

    In very few people with cardiomegaly and severe congestive heart failure, a heart transplant may be recommended.[m.webmd.com] gallop is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double carotid arterial pulse[emedicine.medscape.com] Electrocardiogram showed right axis deviation, poor R-wave progression, and diffuse ST-segment elevation in the anterior leads, and cardiomegaly was observed by roentgenogram[ncbi.nlm.nih.gov]

  • Dilated Cardiomyopathy

    Cardiomegaly with marked biventricular dilation and fibrosis were noticeable histopathological findings.[ncbi.nlm.nih.gov] He was tachycardic, with an S3/S4 gallop rhythm. There were moist rales in the lung fields and chest wall retraction. The abdominal exam revealed hepatomegaly.[revportcardiol.org] Chest radiograph showed cardiomegaly; electrocardiogram showed left ventricular hypertrophy and echocardiography revealed dilated cardiomyopathy.[ncbi.nlm.nih.gov]

  • Ischemic Cardiomyopathy

    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] Related: Enlarged heart (cardiomegaly): Causes, symptoms, diagnosis and treatment Silent heart attack (silent ischemia): Symptoms, causes, and treatments [adstoappear][belmarrahealth.com] Restrictive Cardiomyopathy Pathophysiology Systolic dysfunction Diastolic dysfunction outflow obstruction Diastolic dysfunction Clinical findings LV and RV failure, sudden death, Cardiomegaly[merckmanuals.com]

  • Primary Cardiomyopathy

    Pulmonary venous congestion No cardiomegaly No or mild cardiomegaly Hemodynamics Normal or high EDP, low EF, diffusely dilated hypokinetic ventricles AV valve regurgitation[msdmanuals.com] […] cardiac muscle ( myocardium)心筋 cardiac output 心拍出量 cardiac rupture心[臓]破裂 cardiac silhouette心陰影 cardiac standstill心静止 cardiac tamponade 心タンポナーデ cardiogenic shock 心原性ショック cardiomegaly[tokyo-med.ac.jp] Restrictive Cardiomyopathy Pathophysiology Systolic dysfunction Diastolic dysfunction outflow obstruction Diastolic dysfunction Clinical findings LV and RV failure, sudden death, Cardiomegaly[msdmanuals.com]

  • Alcoholic Cardiomyopathy

    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] Abstract Alcoholic cardiomyopathy is characterized by cardiomegaly, disruptions of myofibrillary architecture, reduced myocardial contractility, decreased ejection fraction[ncbi.nlm.nih.gov] Blood tests will show signs of liver injury and confirm alcohol abuse, while chest X-ray shows pulmonary congestion, cardiomegaly and pleural effusions.[radcliffecardiology.com]

  • Peripartum Cardiomyopathy

    Postpartum investigations revealed pathological cardiomegaly with left ventricular failure (NYHAIV). Cardiac biopsy diagnosed postpartum dilatative cardiomyopathy.[ncbi.nlm.nih.gov] Her lungs were clear to auscultation and her heart rate was regular, with an S3 gallop. Her extremities were nonedematous, and she had no calf tenderness.[thepermanentejournal.org] Chest plain film showed acute pulmonary edema, bilateral pulmonary infiltration with interstitial patches, and cardiomegaly.[ncbi.nlm.nih.gov]

  • Large Ventricular Septal Defect

    Abstract The authors report a case of a large ventricular septal defect with pulmonary hypertension, cardiomegaly and heart failure in early infancy, exhibiting marked improvement[ncbi.nlm.nih.gov] PA chest radiograph demonstrates moderate cardiomegaly with the left ventricular apex extending to the left chest wall.[bcm.edu] There is cardiomegaly, prominent main pulmonary artery segment and right pulmonary artery.[pedclerk.bsd.uchicago.edu]

  • Toxic Myocarditis

    CXR: Normal cardiac silhouette but pericarditis or overt clinical congestive heart failure is associated with cardiomegaly. Vascular redistribution.[patient.info] Kussmaul's sign A paradoxical increase in venous distention and pressure during inspiration. Finding associated with cardiac tamponade.[atsu.edu] Cardiogenic shock in fulminant cases Auscultation findings Brief systolic murmurs Heart failure S3 (and S4) gallops Pericarditis pericardial friction rub The clinical manifestation[amboss.com]

  • Aortic Valve Stenosis

    In the latter case, it may show cardiomegaly, edema, and other findings suggestive of congestive heart failure.[symptoma.com] As AS severity increases, the findings of systolic heart failure may become more prominent, including an S3 or S4 gallop, the irregular rhythm of atrial fibrillation, an enlarged[doi.org] The medical term for this condition is cardiomegaly, although most patients will hear that their hearts are enlarged or dilated.[heart-valve-surgery.com]

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