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66 Possible Causes for Cardiomegaly, Pulsus Alternans

  • Congestive Heart Failure

    Autopsy showed mild cardiomegaly with microscopic foci of myocardial fibrosis and extensive contraction band necrosis.[ncbi.nlm.nih.gov] alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] Major criteria: · Paroxysmal nocturnal dyspnea · Neck vein distention · Rales · Radiographic cardiomegaly (increasing heart size on chest radiography) · Acute pulmonary edema[medicalcriteria.com]

  • Heart Failure

    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] Major criteria: · Paroxysmal nocturnal dyspnea · Neck vein distention · Rales · Radiographic cardiomegaly (increasing heart size on chest radiography) · Acute pulmonary edema[medicalcriteria.com]

  • Cardiomyopathy

    In very few people with cardiomegaly and severe congestive heart failure, a heart transplant may be recommended.[m.webmd.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] 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]

  • Dilated Cardiomyopathy

    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] Chest radiograph showed cardiomegaly; electrocardiogram showed left ventricular hypertrophy and echocardiography revealed dilated cardiomyopathy.[ncbi.nlm.nih.gov]

  • 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] Leg elevation promptly reversed the pulsus alternans, and the echocardiographic abnormality.[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]

  • 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]

  • Fungal Myocarditis

    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] CXR: Normal cardiac silhouette but pericarditis or overt clinical congestive heart failure is associated with cardiomegaly. Vascular redistribution.[patient.info]

  • Acute Myocarditis

    […] 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] Diagnostic Modalities The chest x-ray typically demonstrates cardiomegaly and increased pulmonary vascular markings, indicating pulmonary oedema.[jpma.org.pk]

  • 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]

  • Myocardial Fibrosis

    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] Key words Chronic fibroplastic myocarditis Myocardial fibrosis Inflammation Post-myocarditic cardiomegaly This is a preview of subscription content, log in to check access[link.springer.com]

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