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Test Findings

Left Ventricular Enlargement



    • 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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