A 60-year-old woman suffering from heart failure was found to have Crow-Fukase syndrome. A precise cardiovascular study revealed the existence of pulmonary hypertension (PH), cardiomegaly and myocardial hypertrophy in addition to manifestations of this syndrome such as hyperpigmentation, hypertrichosis, finger clubbing, polyneuropathy, organomegaly and plasma cell dyscrasia. These findings sugg...

OBJECTIVE To analyze the prognostic value of cardiomegaly, pulmonary congestion and cardiothoracic ratio as indicators of death and survival in children with idiopathic dilated cardiomyopathy. METHODS We carried out a retrospective review of 152 patients with idiopathic dilated cardiomyopathy diagnosed between September 1979 and March 2003. In the first 72 months, 722 exams were performed (10...

Although the etiologies of both trapped lung and cardiomegaly are well-established, co-presentation of the two conditions, and possible interactions between them, are much rarer. Here we describe the case of 78 year-old male found to have both cardiomegaly and trapped lung, with a cause of death of congestive heart failure and subsequent cardiac arrest. This case prompted consideration of possi...

• The ventricular myocardium responds to a chronic increased work load by an increase in the myocardial mass. The functional significance of this adaptation has been an area of interest particularly because of the common clinical finding of an increased cardiac mass in cardiac failure. Since an increased myocardial mass is predominantly the result of the enlargement rather than the multiplicati...

Erasmus universiteit Rotterdam; 1996. 30. Verhulst FC, Van der Ende J, Koot HM. Handleiding voor de Teacher’s Report Form (TRF) [Manual for the Teacher’s Report Form (TRF)]. Rotterdam, The Netherlands: Afdeling kinder-en jeugdpsychiatrie, Sophia Kinderziekenhuis/Academisch ziekenhuis Rotterdam/Erasmus universiteit Rotterdam; 1997. 31. Verhulst FC, Van der Ende J, Koot HM. Handleiding voor de Yo...

A 64-year-old woman presented to the emergency department because of progressive fatigue and weight loss for the previous 3 months. She had a 10 pack-year history of smoking with no other significant medical history. Physical examination was unremarkable with normal cardiac and pulmonary auscultation. Her electrocardiogram showed sinus rhythm with very low voltages in all leads (Figure 1A). A c...

EDITORIAL SYNOPSIS Chagas disease due to a trypanosome infection may lead to extensive destruction of ganglion cells in the peripheral autonomic system and may result in gross enlargement of the oesophagus, colon, and heart. From studies on nerve cell counts it is concluded that the number of ganglion cells in the oesophagus must be reduced to less than half to produce functional disturbances i...

Clinical and epidemiological features of idiopathic cardiomegaly in Jamaica are reviewed, and the high community prevalence of the disorder is shown. The frequent occurrence of sudden or unexpected death in patients whose earlier electrocardiograms had shown repeated ventricular ectopic beats has been noted. Common electrocardiographic findings included a high rate of abnormalities usually rega...

The clinical and angiographic findings in 5 consecutive patients with congestive cardiac failure are presented to illustrate the pitfalls in the clinical diagnosis of endomyocardial fibrosis. In one patient the clinical diagnosis was confirmed at angiography while another patient who had angiographic evidence of early right ventricular endomyocardial fibrosis was diagnosed clinically as mitral ...