Cardiomyopathy physical examination
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Cardiomyopathy Microchapters |
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Diagnosis |
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Treatment |
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Guidelines |
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2020 AHA/ACC Guideline for the Diagnosis and Treatment of Patients With Hypertrophic Cardiomyopathy |
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Case Studies |
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Cardiomyopathy physical examination On the Web |
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American Roentgen Ray Society Images of Cardiomyopathy physical examination |
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Risk calculators and risk factors for Cardiomyopathy physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
A thorough physical examination can help in diagnosing cardiomyopathy. Particular attention should be given to the cardiac exam, the lung exam, the extremities for edema, and in assessing for other signs of heart failure such as jugular venous distension.
Physical Examination
Neck
jugular venous distension might be noted when the right atrial pressures are elevated. A bifid carotid upstroke might be noted in hypertrophic cardiomyopathy.
Heart
The loudness, timing, and location of a heart murmur may suggest obstructive hypertrophic cardiomyopathy. Apical impulse might be displaced in dilated cardiomyopathy. A pansystolic murmur might be heard at the apex, radiating to the axilla, which indicates the presence of mitral regurgitation.
Lungs
Crackles in the lungs may be a sign of heart failure, which often develops in the later stages of cardiomyopathy.
Extremities
Edema of the ankles, feet, legs and abdomen.