Cardiomegaly history and symptoms: Difference between revisions

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==Overview==
==Overview==
The history and symptoms can suggest the underlying cause of cardiomegaly.  The patient may have a history of [[rheumatic heart disease]] or [[congenital heart disease]], or a history of [[alcohol abuse]] which may suggest [[dilated cardiomyopathy]].  Symptoms such as chest pain, or other cardiac or respiratory symptoms may help in illiciting the underlying cause.
The symptoms of cardiomegaly may vary depending on the underlying cause and common symptoms include [[dyspnea]] and [[fatigue]].  A careful history is important to ascertain the underlying cause of cardiomegaly.  The patient should be asked if there is a history of [[hypertension]], [[rheumatic heart disease]] that would cause valvular heart disease, [[congenital heart disease]], [[alcohol abuse]], or a history of symptoms suggesting [[ischemic heart disease]].


==Symptoms==
==Symptoms==
Depending upon the underlying cause of cardiomegaly, the following symptoms may be present:
Depending upon the underlying cause of cardiomegaly, the following symptoms may be present:
* [[Cough]]
* [[Dizziness]]
* [[Dizziness]]
* [[Syncope]]
* [[Dyspnea]]
* [[Fatigue]]
* [[Fatigue]]
* [[Dyspnea]]
* [[Palpitations]]
* [[Palpitations]]
* [[Pedal edema]]
* [[Syncope]]


== History==
== History==
In the patient with cardiomegaly the following historical information should be obtained:
In the patient with cardiomegaly, the patient should be asked if there is a history of the following:
* History of [[chest pain]] to suggest [[ischemic heart disease]]
* [[Hypertension]]
* History of [[rheumatic fever]] or known [[valvular heart disease]]
* [[Rheumatic fever]] or known [[valvular heart disease]]
* History of [[congenital heart disease]]
* [[Alcohol abuse]] or recreational drug use such as [[cocaine]]
* History of [[drug]] and [[alcohol]] use (recreational)
* [[Chest pain]] to suggest [[ischemic heart disease]]  
* [[Family history]] (heart disease or sudden death)
* [[Congenital heart disease]]
 





Latest revision as of 11:15, 9 August 2013

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor in Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

The symptoms of cardiomegaly may vary depending on the underlying cause and common symptoms include dyspnea and fatigue. A careful history is important to ascertain the underlying cause of cardiomegaly. The patient should be asked if there is a history of hypertension, rheumatic heart disease that would cause valvular heart disease, congenital heart disease, alcohol abuse, or a history of symptoms suggesting ischemic heart disease.

Symptoms

Depending upon the underlying cause of cardiomegaly, the following symptoms may be present:

History

In the patient with cardiomegaly, the patient should be asked if there is a history of the following:


References

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