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34 Possible Causes for Cardiomegaly on Chest X-ray, Narrow Pulse Pressure

  • Congestive Heart Failure

    Chest X-ray revealed cardiomegaly, and echocardiogram showed dilated left ventricular (LV) cavity and diffuse hypokinesis with extremely decreased ejection fraction (EF).[ncbi.nlm.nih.gov] Signs There may be a tachycardia at rest, low systolic blood pressure (BP), a displaced apex (LV dilatation) or RV heave (pulmonary hypertension), a narrow pulse pressure[patient.info] After 2 months of CHM treatment, the follow-up chest X-ray showed great improvements in pulmonary edema and cardiomegaly.[ncbi.nlm.nih.gov]

  • Myocardial Infarction

    In cross-sectional studies in the general population, 15 to 40% of patients with ECG evidence of past myocardial infarction (MI) do not give a history of typical cardiac symptoms [ 1, 2, 3 ]. Mortality rates in patients with such “silent” MIs have been reported as higher than, similar to, or lower than those in[…][doi.org]

  • Acute Myocardial Infarction

    Ventricular septal rupture (VSR) is a rare but fatal complication of acute myocardial infarction (AMI) with an associated mortality that ranges from 41% to 80%. The treatment consists of supplemental oxygenation, afterload reduction, intraaortic balloon pump, and surgical repair. In selected patients, extracorporeal[…][ncbi.nlm.nih.gov]

  • Aortic Valve Stenosis

    Signs Examination of the pulse in significant AS reveals a slow-rising, flat character called pulsus parvus et tardus. [ 7 ] Blood pressure will show a narrow pulse pressure[patient.info] Clinical examination classically reveals a narrow pulse pressure, a slow-rising peripheral pulse, pulsus parvus et tardus (weak and delayed pulse) in the carotid pulse, a[radiopaedia.org]

  • Myxedema

    pulse pressure.[emedicine.com] […] the effect of alpha-adrenergic receptors, increased catecholamines, and increased systemic vascular resistance, causing some patients to have diastolic hypertension and a narrowed[emedicine.com]

  • Heart Failure

    Testing may include a chest x-ray to look for cardiomegaly (an enlarged heart), pulmonary edema (fluid in the lungs), or pleural effusion (collection of fluid around the lungs[dx.doi.org] Signs There may be a tachycardia at rest, low systolic blood pressure (BP), a displaced apex (LV dilatation) or RV heave (pulmonary hypertension), a narrow pulse pressure[patient.info] Chest X-rays are frequently used to aid in the diagnosis of CHF.[en.wikipedia.org]

  • Coronary Artery Disease

    […] high blood pressure.[medicinenet.com] (feel) for the pulses in the wrists and feet to see if they are present, and if they are normal in their amplitude and force.[medicinenet.com] There are some clues on physical exam that suggest the presence of narrowed arteries to the heart and coronary artery disease, for example, they the doctor may: Check for[medicinenet.com]

  • Pericardial Effusion

    We suggest that any patient who develops chest pain, tachycardia, cardiomegaly on chest X-ray or has signs of hypoxemia should be evaluated for PEF through echocardiography[nature.com] pulse pressure and mild hypotension 7.[slideshare.net] ECG strip showing declining and rising QRS amplitude in a patient with pericardial effusion Chest X-ray: Chest X ray can show cardiomegaly if sufficient fluid is present.[iame.com]

  • Aortic Stenosis with Bicuspid Valve

    Investigation for Bicuspid Aortic Valve Chest X-ray May show prominent ascending aorta Cardiomegaly due to LV enlargement can be explained by the occurrence of aortic regurgitation[lecturio.com] Signs Examination of the pulse in significant AS reveals a slow-rising, flat character called pulsus parvus et tardus. [ 7 ] Blood pressure will show a narrow pulse pressure[patient.info]

  • Hypertensive Heart Disease

    Clues that suggest the presence of such a marked reduction in cardiac output include narrow pulse pressure, cool extremities, altered mentation, Cheyne-Stokes respiration,[doi.org]

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