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Doctor insights on: Hepatomegaly With Heart Defect

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Small left sided heart with abnormal septal motion in ventricle EF 60-65% heart is normal including thickness. Possible pulmonary hypertension cause?

Small left sided heart with abnormal septal motion in ventricle EF 60-65% heart is normal including thickness. Possible pulmonary hypertension cause?

MRI: If you have severe pulmonary hypertension, you may have Primary Pulmonary Hypertension. This is potentially a serious diagnosis. Intracardiac and intrapulmonary shunting must be ruled out. A cardiac MRI and nuclear shunt test can make this determination. These tests are likely only available at a major referral center - London. Good luck. ...Read more

Dr. ASHRAF MALEK
172 doctors shared insights

Enlarged Liver (Definition)

Hepatomegaly, otherwise known as an enlarged liver, is a clinical finding in which the liver is found to be larger than is normal, either by the physical exam from a physician or by imaging such as CT scan or ultrasound. This can be due to alcoholism, hepatitis viruses, inherited liver ...Read more


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Ekg left atrial enlargement, nonspecific t wave abnormality, echo done trace mitral regurg, tricuspid regurg. Pericardial effusion global.Is my heart ok?

Ekg left atrial enlargement, nonspecific t wave abnormality, echo done trace mitral regurg, tricuspid regurg. Pericardial effusion global.Is my heart ok?

More info needed: I am assuming echo is showing pericardial effusion and global? Or maybe global hypohypokinesia? Any wall motion abnormalities? Ejection fraction? Do u have any symptoms? At rest or with activities? Any other risk factors? Smoker, overweight, dm, htn, high chol, family history heart attacks, sedentary life etc. Any prior heart attacks? Stress test done. Any recent viral infection? Pericarditis? ...Read more

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Is anyone born or diagnosed with a v.S.D with absent pulmonary valve?

Is anyone born or diagnosed with a v.S.D with absent pulmonary valve?

Rare defect: Absent pulmonary valve syndrome is a rare congenital heart defect. Some of the features are similar to tetralogy of fallot. An important difference in most babies with absent pulmonary valve syndrome is that the pulmonary arteries are very large, and often associated with problems with the airways. Surgery is required to repair the problems in the heart and repair the pulmonary arteries. ...Read more

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Summary of my resent echogram; 1-Low normal left ventricular function. Ejection fraction is est.52% 2-Mild left atrial enlargement. 3-Mild to moderate aortic valve regurgition. 4-Moderate aortic valve stenosis. 5-Mild tricuspid valve regurgitation. 6-Mode

Summary of my resent echogram;
1-Low normal left ventricular function. Ejection fraction is est.52%
2-Mild left atrial enlargement.
3-Mild to moderate aortic valve regurgition.
4-Moderate aortic valve stenosis.
5-Mild tricuspid valve regurgitation.
6-Mode

Need cardiologist!: There are a number of concerning findings on your echocardiogram. The left ventricular function (how strong your pump is) is just a little low; I'm not that concerned about that. The valves, especially aortic, are the biggest problem: to have both aortic regurgitation (back flow across the valve) and narrowing (stenosis) is very concerning. Follow up soon with your cardiologist. Good wishes:) ...Read more

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Is pulmonary hypertension always associated with heart failure?

Is pulmonary hypertension always associated with heart failure?

No: Only when the pulmonary hypertension causes the right ventricle to dilate (enlarge) does heart failure occur. This type of failure may affect the right side of the heart causing increased leg swelling, fluid buildup in the abdomen and elevation of liver enzymes. If the swelling of the right heart becomes severe it can affect the function of the left side of the heart and cause pulmonary edema. ...Read more

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What can cause my RA and RV enlarged + tricuspid regur, without present of pulmonary hypertention or mitral valve disease? Is it possible congenital?

What can cause my RA and RV enlarged + tricuspid regur, without present of pulmonary hypertention or mitral valve disease? Is it possible congenital?

Mgt/workup: It is possible that the right sided heart problem is related to a change in the anatomy on that side. The leaky valve makes the heart work more with each beat. Since you have experienced leg swelling, the regurgitation may have been significant enough to allow back up of the blood, resulting in leg edema. The valve may be repaired to alleviate this cause. It is important to follow up. ...Read more

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Is heart murmur with mild leak dangerous?

Is heart murmur with mild leak dangerous?

Probably not: It depends on which valve is leaking and how severe the leakage is. But it probably is not dangerous, especially if you feel ok. ...Read more

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Can ventricular septal defect cause diastolic or systolic murmur?

Can ventricular septal defect cause diastolic or systolic murmur?

Yes: Almost all vsd's cause a syhstolic murmur. Larger defects with a lot of flow across them cause a diastolic murmur from increased flow across the mitral valve. ...Read more

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Hello doctors, can ventricular septal defect cause diastolic murmur?

Hello doctors, can ventricular septal defect cause diastolic murmur?

Not typical: The classic VSD physical finding is of course a holosystolic murmur. However, if the VSD is subarterial or supracristal, it can distort the aortic valve, sometimes causing leaflet prolapse. If this results in significant aortic insufficiency, there will be an associated diastolic murmur (with the insufficiency representing an indication for surgical repair). ...Read more

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Heart murmur with normal echocardiogram. Only showed trace mitral & tricuspid valve regurgitation. Does this mean murmur is benign?

Heart murmur with normal echocardiogram. Only showed trace mitral & tricuspid valve regurgitation. Does this mean murmur is benign?

Yes: A murmur is just a sound made by blood flowing through your heart and valves. If the Echo is normal, trace mitral and tricuspid regurgitation is probably normal for you. Benign means not indicative of pathology or not pathological. You have a benign murmur. ...Read more

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Abnormal septal motion in ventricle, EF 60-65% small LA and LV normal in thickness gd systolic function and sinus tachy 120bpm pulmonary Hypertension?

Abnormal septal motion in ventricle, EF 60-65% small LA and LV normal in thickness gd systolic function and sinus tachy 120bpm pulmonary Hypertension?

Heart disease: The internet is not the place to evaluate cardiac conditions. This may be a form of hypertrophic cardiomyopathy or some other form of cardiomyopathy, but you need an experience cardiologist assessing this situation. ...Read more

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What syndrome has hypoplastic ventricle, pulmonary and tricuspid atresia?

What syndrome has hypoplastic ventricle, pulmonary and tricuspid atresia?

Variable: Could be a dorv double outlet right ventricle which can incorporate the defects mentioned. ...Read more

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Can endocarditis CAUSE atrial septal aneurysm with a pfo or ASD shunt?

Can endocarditis CAUSE atrial septal aneurysm with a pfo or ASD shunt?

No: A cerebral embolism can happen in someone with an undiagnosed PFO or ASD +/- atrial septal aneurysm. Endocarditis causes valve degeneration and/ or there could be a coronary embolism causing a heart attacks. ...Read more

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What does it mean if a patient with congestive heart failure has cyanosis coupled with liver and kidney failure?

What does it mean if a patient with congestive heart failure has cyanosis coupled with liver and kidney failure?

Treat it fast: This organs all are affecting each other. Congestive heart failure affects liver and both cause kidney problem. It's possible to control heart, liver and kidney failure by specific measures and medications in most of the cases. ...Read more

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An echocardiogram revealed mild mitral valve thickening & prolapse. Can this be causing a fast heart rate/tiredness?

An echocardiogram revealed mild mitral valve thickening & prolapse. Can this be causing a fast heart rate/tiredness?

Probably not: Unless you have additional valve pathology such as significant stenosis or regurgitation, it is unlikely. Many people have some mitral valve prolapse and the vast majority are asymptomatic. ...Read more

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Dr. Peter Ihle
77 doctors shared insights

Liver Enlargement (Definition)

Liver enlargement is a clinical finding in which the liver is found to be larger than is normal, either by the physical exam from a physician or by imaging such as cat scan or ultrasound. This can be due to alcoholism, hepatitis viruses, inherited liver ...Read more