Cardiomegaly: Difference between revisions

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__NOTOC__
'''For the WikiPatient page for this topic, click [[{{PAGENAME}} (patient information)|here]]'''
{{DiseaseDisorder infobox |
{{DiseaseDisorder infobox |
   Name          = Cardiomegaly |
   Name          = Cardiomegaly |
  ICD10          = {{ICD10|I|51|7|i|30}} |
    Image          = cardiomegaly-2.jpg|
  ICD9          = {{ICD9|429.3}} |
  ICDO          = |
  Image          = cardiomegaly-2.jpg|
  Caption        = |
  OMIM          = |
  MedlinePlus    = |
  eMedicineSubj  = |
  eMedicineTopic = |
  DiseasesDB    = 30769 |
  MeshID        = D006332 |
}}
}}
{{Template:Cardiomegaly}}
{{Template:Cardiomegaly}}


{{CMG}}; '''Associate Editor in Chief:''' {{CZ}}
{{CMG}}


{{SK}} Enlarged heart; heart enlargement;
==[[Cardiomegaly overview|Overview]]==
==[[Cardiomegaly overview|Overview]]==
==[[Cardiomegaly historical perspective|Historical Perspective]]==


==[[Cardiomegaly pathophysiology|Pathophysiology]]==
==[[Cardiomegaly pathophysiology|Pathophysiology]]==


==[[Cardiomegaly epidemiology and demographics|Epidemiology and demographics]]==
==[[Cardiomegaly causes|Causes]]==
 
==[[Cardiomegaly differential diagnosis|Differentiating Cardiomegaly from other Diseases]]==
 
==[[Cardiomegaly epidemiology and demographics|Epidemiology and Demographics]]==


==[[Cardiomegaly risk factors|Risk factors]]==
==[[Cardiomegaly risk factors|Risk factors]]==
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==[[Cardiomegaly screening|Screening]]==
==[[Cardiomegaly screening|Screening]]==


==[[Cardiomegaly natural history|Natural History, Complications & Prognosis]]==
==[[Cardiomegaly natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
 
==[[Cardiomegaly causes|Causes]]==
 
==[[Cardiomegaly differential diagnosis|Differential diagnosis of cardiomegaly]]==


== Diagnosis ==  
== Diagnosis ==  
[[Cardiomegaly history and symptoms|History and Symptoms]] | [[Cardiomegaly physical examination|Physical examination]] | [[Cardiomegaly laboratory tests|Lab tests]] | [[Cardiomegaly electrocardiogram|Electrocardiogram]] | [[Cardiomegaly chest x ray|Chest x ray]] | [[Cardiomegaly MRI|MRI]] | [[Cardiomegaly CT|CT]] | [[Cardiomegaly echocardiography or ultrasound|Echocardiogpraphy or ultrasound]] | [[Cardiomegaly other diagnostic studies|Other diagnostic studies]] | [[Cardiomegaly pathological findings|Pathological findings]]
[[Cardiomegaly history and symptoms|History and Symptoms]] | [[Cardiomegaly physical examination|Physical examination]] | [[Cardiomegaly laboratory findings|Laboratory Findings]] | [[Cardiomegaly electrocardiogram|Electrocardiogram]] | [[Cardiomegaly chest x ray|Chest X ray]] | [[Cardiomegaly MRI|MRI]] | [[Cardiomegaly CT|CT]] | [[Cardiomegaly echocardiography or ultrasound|Echocardiogpraphy or Ultrasound]] | [[Cardiomegaly other imaging findings|Other Imaging Findings]] | [[Cardiomegaly other diagnostic studies|Other Diagnostic Studies]]
 
=== Other Diagnostic Studies ===
* Exercise or pharmacologic stress testing may be indicated in those patients suspected of having [[coronary artery disease]]
* Patients suspected of having valvular disease or [[coronary artery disease]] may need a [[cardiac catheterization]] for full evaluation following [[echocardiography]]
 
==Pathological Findings==
 
[http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology]
 
[[Image: RVE Hyalin membran disease.jpg|left|300px|thumb|Right ventricular enlargement due to a [[patent ductus arteriosus]] in a patient with hyaline membrane disease]]
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== Treatment ==
== Treatment ==
[[Cardiomegaly medical therapy|Medical therapy]] | [[Cardiomegaly surgery|Surgery]] | [[Cardiomegaly prevention|Prevention]] | [[Cardiomegaly cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Cardiomegaly future or investigational therapies|Future or Investigational therapies]]


== Pharmacotherapy ==
==Case Studies==
 
[[Cardiomegaly case study one|Case #1]]
=== Acute Pharmacotherapies ===
* Administration of [[digoxin]], [[diuretic]]s, [[antiarrhythmics]] and/or [[preload]] and [[afterload]] reducers per clinical indication
 
=== Chronic Pharmacotherapies ===
A combination of [[diuretic]]s and [[angiotensin converting enzyme]] ([[ACE]]) inhibition is currently the standard of care. [[Digoxin]] may reduce the frequency of rehospitalization, but does not improve mortality.
 
== Surgery and Device Based Therapy ==
* In patients who are awaiting a transplant for end-stage symptomatic [[heart failure]], implantable [[ventricular assist devices]] may serve as a temporary aid for compensation.
 
=== Transplantation ===
* In patients who are in end-stage symptomatic [[heart failure]], a [[heart transplant]] my be necessary.
 
== Future or Investigational Therapies ==
Mechanical strategies currently under investigation include:
#Development of devices to reduce the size of the heart
#Development of a device to exclude that portion of the apex where clots may form.
 
==Pathological Findings==
 
[http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology]
 
[[Image:Biventricular Hypertrophy.jpg|left|300px|thumb|Biventricular Hypertrophy]]
<br clear="left"/>
 
[[Image:Biventricular Hypertrophy 1.jpg|left|300px|thumb|Biventricular Hypertrophy]]
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[[Image:Left ventricular hypertrophy 2.jpg|left|300px|thumb|Gross excellent example of concentric left ventricular hypertrophy]]
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[[Image:Left ventricular hypertrophy 1.jpg|left|300px|thumb|Left Ventricular Hypertrophy: Gross natural color anterior view intact heart showing disproportionate size of left ventricle by its inferior extent much below the right ventricle apex (quite good example)]]
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[[Image:Right ventricular hypertrophy.jpg|left|300px|thumb|Myocardial Infarct: Gross natural color apical section showing large left ventricle infarct and right ventricular hypertrophy]]
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[[Image:Right ventricular hypertrophy 1.jpg|left|300px|thumb|Right ventricular hypertrophy]]
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== References ==
{{reflist|2}}


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[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Microchapter candidate]]
[[Category:Disease]]

Latest revision as of 16:06, 4 May 2014

For the WikiPatient page for this topic, click here Template:DiseaseDisorder infobox

Cardiomegaly Microchapters

Home

Patient Information

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Cardiomegaly from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

MRI

CT

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Cardiomegaly On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Cardiomegaly

CDC on Cardiomegaly

Cardiomegaly in the news

Blogs on Cardiomegaly

Directions to Hospitals Treating Cardiomegaly

Risk calculators and risk factors for Cardiomegaly

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and keywords: Enlarged heart; heart enlargement;

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Cardiomegaly from other Diseases

Epidemiology and Demographics

Risk factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical examination | Laboratory Findings | Electrocardiogram | Chest X ray | MRI | CT | Echocardiogpraphy or Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical therapy | Surgery | Prevention | Cost-Effectiveness of Therapy | Future or Investigational therapies

Case Studies

Case #1


Template:WikiDoc Sources

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