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Test Findings

Left Ventricular Enlargement

October 21st, 2019


  • Look For

  • Displacement of the left cardiac border laterally, inferiorly and posteriorly
  • Rounded cardiac apex
  • Causes of Left Ventricular Enlargement

  • Hypertrophy

  • Physiologic - athletes, pregnancy
  • Hypertensive heart disease
  • Valvular disease - aortic stenosis, aortic regurgitation, mitral regurgitation
  • Hypertrophic (obstructive) cardiomyopathy
  • Aortic coarctation
  • Dilation

  • Dilated cardiomyopathy - familial, ischaemic, alcoholic, viral myocarditis, drugs, connective tissue disease, tachycardia-mediated, peripartum
  • Other

  • Infiltrative disease - haemochromatosis, amyloidosis, sarcoidosis
  • Hyperdynamic state - anaemia, hyperthyroidism, obesity, AV fistula
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