Common Cardiac X-ray

Protocols

X-ray Cardiomegaly: [post id="203" title="Formula"]


Cardiomegaly X-ray findings :

X-ray chest posterior anterior view shows -

1. Enlarged transverse diameter of cardiac shadow

2.Trachea is centrally placed.

3. Lung fields are clear on both sides

So my radiological diagnosis is Cardiomegaly.


Causes of Cardiomegaly:

1. Multiple valvular heart disease. e.g-MS, AR, AS

2. Dilated cardiomyopathy

3. Myocarditis

4. Entensive myocardial infarction

5. Hyperdynamic circulation

6. Anaemia, thyrotoxicosis, beriberi




X-ray Pericaldial Effusion:



Pericaldial Effusion X-rays Findings :

X-ray chest posterior anterior view shows -

1. A large globular/ pear shaped cardiac shadow with sharp outline.

2. Trchea is centrally placed.

3. Lung fields are clear.

4. Costophrenic angles of both sides are normal

5.Cardiophrenic angles of both sides are acute.

6. Both domes of diaphragm are normal in position.


So my radiological diagnosis is pericardial effusion

Causes of Pericardial effusion :

1.Acute myocardial infarction

2. Rheumatic fever

3. Infection:

Bacterial : Staphylococcus, Tuberculosis

Viral : Coxackie B


4. Uraemia

5. Trauma (blunt chest injury)

6. Malignant disease

7. Connective tissue disease




X-ray Mitral Stenosis:



Mitral Stenosis X-ray Findings :

X-ray chest posterior anterior view shows

1. Prominent left atrial appendage giving the appearance of stright left heart border.

2. Double right heart border

3. Trachea is centrally placed.

4. Lung fields are clear on both side.

5. Normal transverse diameter of cardiac shadow


So my radiological diagnosis is mitral stenosis.

X-ray Mitral Regurgitation:



Mitral Regurgitation X-ray findings :

X-ray tay chest posterior anterior view shows

1. Prominent left atrial appendage giving the appearance of stright left heart border.

2. Double right heart border

3. Widening of the angle of carina due to elevated left bronchus

4. Enlarged transverse diameter of cardiac shadow



So my radiological diagnosis is mitral regurgitation

X-ray TOF:




X-ray findings of TOF:

X-ray chest posterior anterior view shows

1. The apex of the cardiac shadow is lifted up & there is a bay in the region of

left pulmonary artery giving the appearance of cardiac shadow so called

boot shaped

2. Transverse diameter of cardiac shadow is normal.

3. Oligaemic lung field.

4. Costophrenic angles of both sides are normal but left cardiophrenic angle is

acute.


So my radiological diagnosis is Fallot's tetralogy.




Pacemaker

Image

CXR-1: CXR PA view showing metallic suture wire of sternotomy with dual-chamber pacemaker.


Diagnosis: Dual-chamber pacemaker.




CXR-2:Single-chamber pacemaker




CXR-2:CXR lateral view showing a single-chamber pacemaker.



  1. Q: What are the complications of pacemaker?
  2. A: As follows:
    • • Infection
    • • Displacement
    • • Malfunction
    • • Pacemaker failure
    • • Pacemaker-mediated tachycardia (by dual-chamber pacing)
    • • Pacemaker syndrome (occurs in single-chamber pacing)
    • • Others: Perforation of ventricular wall, ventricular arrhythmia, erosion of generator or lead,
    • electromagnetic interference


  1. Q: What are the common indications of permanent pacemaker?
  2. A: Symptomatic complete heart block and sick sinus syndrome.
  1. Q: In which complete heart block, no pacemaker is needed and why?
  2. A: Congenital complete heart block, because the heart rate is normal.
  1. Q: What are the indications of pacemaking?
  2. A: As follows:
    1. 1. Permanent:
      • • Complete heart block (with syncope or Stokes–Adams attack)
      • • Sick sinus syndrome
      • • Symptomatic or asymptomatic Mobitz type 2 second-degree AV block
      • • Symptomatic Mobitz type 1 second-degree AV block
      • • Bifascicular or trifascicular block with syncope
      • • Carotid sinus syndrome with bradycardia
      • • Repeated vasovagal syndrome with bradycardia
      • • In some cases of permanent atrial fibrillation (when other treatment fails;\
      • radiofrequency ablation followed by permanent pacemaker)
    2. 2. Temporary:
      • • Acute inferior myocardial infarction with second- or third-degree AV
      • block or severe bradycardia with haemodynamic change
      • • Acute extensive anterior MI with second- or third-degree AV block or new bifascicular block
      • (LBBB or RBBB with left anterior hemiblock, RBBB with left posterior hemiblock)
      • • Some tachycardia, such as AV re-entry tachycardia and ventricular tachycardia
      • \
      • can be terminated by overdrive pacing
      • • Severe digitalis toxicity
      • • Some cases of cardiac arrest