enlarged cardiac silhouette causes - Search
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  1. Sometimes, it occurs for unknown reasons and the condition is known as idiopathic cardiomegaly.

    • Cardiomegaly can be caused by conditions that cause the heart to pump harder than usual or when the heart muscle is weakened. It could also be a short term condition due to pregnancy.
    • Conditions associated with heart enlargement include:
    • High blood pressure
    • Heart valve disease
    • Disease of the heart muscles
    • High blood pressure in the artery connecting the heart and lungs
    • Fluid around the heart
    • Low red blood cell count
    • Thyroid disorders

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    Complications

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    An enlarged heart can lead to the following complications:

    • Heart failure
    • Blood clots
    • Heart murmur
    • Cardiac arrest

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    Symptoms

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    Contact your provider if experiencing new, severe, or persistent symptoms.

    Cardiomegaly does not always show symptoms. When it does, it may include:

    • Shortness of breath or difficulty in breathing (especially when active or when lying flat)
    • Weight gain, particularly in the midsection
    • Feeling tired
    • Palpitations or skipped heartbeats
    • Chest pain
    • Swelling of legs

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    Diagnosis

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    One or more of these tests may be recommended by your medical provider.
    Imaging tests are the best way to detect cardiomegaly. Other tests are performed to determine the underlying cause.

    Common tests & procedures

    X-ray: Chest X-ray helps identify the enlarged heart.

    Electrocardiogram (ECG or EKG): Helps to check heart rhythm problems and any damages to the heart.

    Echocardiogram: Helps measuring the heart size, muscle thickness and its pumping function.

    Magnetic resonance imaging (MRI): MRI of heart helps to detect heart enlargement in some cases.

    Thyroid function tests (TFTs): To check for hypo or hyperthyroidism.

    Antibody test: To check for viral infections by detecting antibodies against viruses.

    Stress test: To check stress related causes.

    Cardiac catheterization: To check for any blockages in the heart.

    Biopsy: To determine the cause of enlargement.

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    Treatment

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    Treatment procedure varies depending upon the causative factor.

    Medication

    Diuretics: Diuretics to lower the pressure in your arteries and heart.

    Chlorothiazide . Chlorthalidone . Bumetanide . Ethacrynic acid . Amiloride . Eplerenone

    Angiotensin receptor blockers: To lower the blood pressure and improve pumping capability.

    Azilsartan . Candesartan . Eprosartan . Irbesartan . Losartan . Olmesartan . Telmisartan . Valsartan

    Beta blockers: To lower the blood pressure and improve heart’s efficiency.

    Acebutolol . Atenolol . Bisoprolol . Metoprolol . Nadolol . Nebivolol . Propranolol

    Anticoagulants: To reduce the risk of blood clots.

    Warfarin . Heparin . Lovenox . Bivalirudin

    Anti-arrhythmic drugs: To maintain the normal rate of heart beat.

    Amiodarone . Flecainide . Procainamide

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