Palpitation x ray: Difference between revisions
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==Overview== | ==Overview== | ||
A x-ray may be employed in the diagnosis of patients presenting with palpitations when there is an increased suspicion of structural heart disease. | |||
==X Ray== | |||
*A x-ray may be employed in the diagnosis of patients presenting with palpitations when there is an increased suspicion of structural heart disease. | |||
*These include conditions such as : | |||
*#Mitral Valve Prolapse | |||
*#Severe aortic regurgitation | |||
*#Severe mitral regurgitation | |||
*#Congenital Heart diseases | |||
*#Mechanical Prosthetic valves | |||
*#Hypertrophic cardiomyopathy | |||
==Xray Examples== | |||
===Severe Mitral Regurgitation=== | |||
*Chest x-ray demonstrates cardiomegaly with features of left atrial enlargement (double contour on the right, splayed carina and enlarged left atrial auricle). The heart is also generally enlarged as are the pulmonary veins, particularly in the right upper zone. | |||
*The rough outline of the left atrium (yellow) can be inferred by the presence of a double border on the right (green arrow), splaying of the carina (blue) and prominence of the left atrial appendage (red arrow). | |||
[[Image: Mitral Regurgitation Palpitations.jpeg|thumb|centre|500px|Case courtesy of Assoc Prof Frank Gaillard, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/18796">rID: 18796</a>]] | |||
===Prosthetic Heart Valves=== | |||
*Mitral valve replacement and cardiac pacemaker following AVSD repair with BCPC (bidirectional cavo-pulmonary connection). | |||
[[Image:Prosthetic Heart Valve Palpitations.jpg|thumb|centre|500px|Case courtesy of Dr Jeremy Jones, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/23985">rID: 23985</a>]] | |||
===Atrial Septal Defect=== | |||
*Cardiac contour is at the upper limit of normal for size. | |||
* | *The aortic arch is small, and the pulmonary trunk prominent, consistent with previous history of atrial septal defect. | ||
* | *Lungs and pleural spaces are clear. No pneumothorax shown. No displaced fracture. | ||
[[Image: Xray ASD Palpitations.jpeg|thumb|centre|500px|https://radiopaedia.org/cases/atrial-septal-defect-6?lang=gb]] | |||
==References== | ==References== | ||
Revision as of 12:06, 7 August 2020
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Palpitation Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Palpitation x ray On the Web |
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American Roentgen Ray Society Images of Palpitation x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Akash Daswaney, M.B.B.S[2]
Overview
A x-ray may be employed in the diagnosis of patients presenting with palpitations when there is an increased suspicion of structural heart disease.
X Ray
- A x-ray may be employed in the diagnosis of patients presenting with palpitations when there is an increased suspicion of structural heart disease.
- These include conditions such as :
- Mitral Valve Prolapse
- Severe aortic regurgitation
- Severe mitral regurgitation
- Congenital Heart diseases
- Mechanical Prosthetic valves
- Hypertrophic cardiomyopathy
Xray Examples
Severe Mitral Regurgitation
- Chest x-ray demonstrates cardiomegaly with features of left atrial enlargement (double contour on the right, splayed carina and enlarged left atrial auricle). The heart is also generally enlarged as are the pulmonary veins, particularly in the right upper zone.
- The rough outline of the left atrium (yellow) can be inferred by the presence of a double border on the right (green arrow), splaying of the carina (blue) and prominence of the left atrial appendage (red arrow).
Prosthetic Heart Valves
- Mitral valve replacement and cardiac pacemaker following AVSD repair with BCPC (bidirectional cavo-pulmonary connection).
Atrial Septal Defect
- Cardiac contour is at the upper limit of normal for size.
- The aortic arch is small, and the pulmonary trunk prominent, consistent with previous history of atrial septal defect.
- Lungs and pleural spaces are clear. No pneumothorax shown. No displaced fracture.
