Palpitation x ray: Difference between revisions
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==Overview== | ==Overview== | ||
A [[x-ray]] may be employed in the diagnosis of | A [[x-ray]] may be employed in the diagnosis of [[patients]] presenting with palpitation when there is an increased suspicion of [[structural heart disease]]. | ||
==X Ray== | ==X Ray== | ||
*A [[x-ray]] may be employed in the diagnosis of patients presenting with | *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 : | *These include conditions such as : | ||
*#[[Mitral Valve Prolapse]] | *#[[Mitral Valve Prolapse]] | ||
*#[[ | *#Severe [[aortic regurgitation]] | ||
*#[[ | *#Severe [[mitral regurgitation]] | ||
*#[[Congenital | *#[[Congenital heart diseases]] | ||
*#[[ | *#Mechanical [[prosthetic valves]] | ||
*#[[Hypertrophic cardiomyopathy]] | *#[[Hypertrophic cardiomyopathy]] | ||
== | ===X-ray Examples=== | ||
===[[Severe Mitral Regurgitation]]=== | ===[[Severe Mitral Regurgitation]]=== | ||
*[[Chest x-ray]] demonstrates [[cardiomegaly]] with features of [[left atrial | *[[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). | *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 | [[Image: Mitral Regurgitation Palpitations.jpeg|thumb|centre|500px|Case courtesy of Assoc Prof Frank Gaillard <ref> href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/18796">rID: 18796 </ref>]] | ||
===[[Prosthetic Heart Valves]]=== | ===[[Prosthetic Heart Valves]]=== | ||
*[[Mitral valve]] replacement and [[cardiac pacemaker]] following [[AVSD]] repair with BCPC ( | *[[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, < | [[Image:Prosthetic Heart Valve Palpitations.jpg|thumb|centre|500px|Case courtesy of Dr Jeremy Jones, <ref> href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/23985">rID: 23985</ref>]] | ||
===[[Atrial Septal Defect]]=== | ===[[Atrial Septal Defect]]=== | ||
*[[Cardiac contour]] is at the upper limit of normal for size. | *[[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]]. | *The [[aortic arch]] is small, and the [[pulmonary trunk]] prominent, consistent with the previous history of [[atrial septal defect]]. | ||
*[[Lungs and pleural spaces]] are clear. No [[pneumothorax]] shown. No [[displaced fracture]]. | *[[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]] | [[Image: Xray ASD Palpitations.jpeg|thumb|centre|500px|<ref>https://radiopaedia.org/cases/atrial-septal-defect-6?lang=gb</ref>]] | ||
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[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Psychiatry]] | [[Category:Psychiatry]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
Revision as of 01:01, 20 January 2021
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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 palpitation 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 :
X-ray 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 the previous history of atrial septal defect.
- Lungs and pleural spaces are clear. No pneumothorax shown. No displaced fracture.
References
- ↑ href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/18796">rID: 18796
- ↑ href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/23985">rID: 23985
- ↑ https://radiopaedia.org/cases/atrial-septal-defect-6?lang=gb