Cardiomegaly history and symptoms
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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 the common symptoms include dyspnea and fatigue. 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.
Symptoms
Depending upon the underlying cause of cardiomegaly, the following symptoms may be present:
History
In the patient with cardiomegaly the following historical information should be obtained:
- History of chest pain to suggest ischemic heart disease
- History of rheumatic fever or known valvular heart disease
- History of congenital heart disease
- History of drug and alcohol use (recreational)
- Family history (heart disease or sudden death)