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Cardiomegaly and pulmonary vascular prominence !! Real Scared?? Prognosis??

Posted by nmum on June 04, 1999 at 13:13:26
I have a chest xray report. It says
There is cardiomegaly with left ventricular prominence and CT ratio 16/27. There is pulmonary vascular prominence. No focal consolidation or Pleural effusions are noted. Mild Degenerative changes are seen in thoracic spine.
Impression : Cardiomegaly and Pulmonary vascular prominence.
What does this mean. I don't understand a word.
I have high BP - taking toprol XL - 50mg
Quite obese
have palpitations and cough. sometimes chest pain - short stabs.
Please help!!! What's the prognosis. I'm real scared. What should be done now.
Posted by CCF CARDIO MD - DLB on June 06, 1999 at 10:30:37
Dear nmum
Your chest xray report is mildly abnormal. Basically it says your heart is enlarged. A cardiac ultrasound would probably help clarify the situation.
I hope this has been useful. Feel free to write back with further questions. Good luck.
Information provided here is of a general nature.  Specific diagnoses and treatments can only be made by your doctor.  If you would like to be seen at the Cleveland Clinic, please call 1-800-CCF-CARE for an appointment with a cardiologist at Desk F15.

Posted by nmum on June 07, 1999 at 09:12:52
What does an enlarged heart mean. What would the echo show. I'm scheduled to have one soon. Does an enlarged heart mean reduced life expectancy. What about pulmonary vascular prominence. What does this mean. Is this also part of the enlarged heart. What does mild degeneration of the cardiac spine mean. Please help.
Thanks a million for your prompt answer.
Posted by CCF CARDIO MD - DLB on June 08, 1999 at 12:19:59
Dear nmum
An enlarged heart refers to an increase in the size of the heart due to any number of underlying diseases. High blood pressure, prior viral infections, heart valve diseases, prior heart attacks - any of these situations can lead to heart enlargement, as well as prominent vascularity. An echocardiogram should provide important clues to your doctors as to how severe the enlargement is, whether it is really abnormal, and what may have caused it. Only then can issues of life expectancy be addressed.
The findings regarding the spine suggest mild arthritis - something most of us eventually develop.
I hope this has been useful. I wish you the best of luck. Feel free to write back.
Information provided here is for general purposes only. Specific questions should be addressed to your own doctor. If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.

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