Enlarged heart is medically termed as cardiomegaly. Cardiomegaly is a situation where the maximum width of the heart shadow is greater than 50% of the maximum internal width of the thorax.
Causes of enlarged heart
Hypertrophy – caused by an increase in after load of a particular chamber (e.g. aortic stenosis, hypertension).
Dialatation – secondary to toxic, metabolic, or infectious agents causing myocardial damage.
Hypertrophy of either ventricle does not usually enlarge the heart shadow unless there is synchronous dilatation. Cardiomegaly or enlarged heart is usually abnormal except athletes, and is associated with other cardiovascular pathology.
A globular shape occurs with pericardial effusion on generalized cardiomyopathy.
Left ventricular dilatation causes lengthening and rounding of the left heart border and a downward extension of the apex.
Right ventricular dilatation lifts the apex off the hemidiaphram.
Left atrial enlargement causes a double density along the right heart border. Comprising the left and right atrial edges. Other signs include left atrial appendage prominence and bronchial splaying of the bronchi at the carina.
Enlarged heart symptoms
Clinical manifestations of enlarged heart
An enlarged heart is less efficient in providing adequate blood flow to the body and itself. Therefore, clinical manifestations of enlarged heart are primarily to those of heart failure (e.g., dyspnea, dizziness, fatigue). Additional symptoms are arrhythmia, angina, and sudden death. Other manifestations are sign and symptoms particular to the specific disease causing the cardiomegaly.
Diagnosis for enlarged heart
Complete history and physical examination
- Associated symptoms may include fatigue, dyspnea at rest and/or on exertion, palpitations, dizziness, or syncope
- Note use of alcohol or recreational drugs
- Family history of heart disease or sudden death
Chest X-ray and ECG
Echocardiogram is indicated in all patients to evaluate for valvular disease, chamber size, wall motion abnormalities, and ventricular function.
Stress testing of coronary artery disease is suspected.
Cardiac catheterization may be indicated to evaluate for coronary artery disease and valvular disease.
Laboratory studies may include CBC, ESR, electrolytes, BUN/creatinine, glucose, TSH, calcium, magnesium, and phosphorous.
Blood culture are indicated in some cases.
Homeopathic treatment for enlarged heart
Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat enlarged heart symptoms but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat enlarged heart symptoms that can be selected on the basis of cause, sensations and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. There are following remedies which are helpful in the treatment of enlarged heart symptoms:
Aurum Met, Aconite, Aurum Iod, Bromium, Cactus G, Crataegus, Digitalis, Kali Carb, Kalmia, Lithium Carb, Rhus Tox, Spigelia, Spongia, Amyl Nitrosome, Arnica, Arsenic Album, Aurum Mur, Causticum, Ferrum Met, Gloninum, Graphites, Hepar Sulph, Iodium, Kali Bi, Lycopodium, Naja, Natrum Mur, Phosphorous, Pulsatilla, and many other medicines.